白内障超声乳化术中角膜后弹力层脱离的原因分析及治疗措施

Analysis of causes and therapeutic measures on Descemet's membrane detachment during phacoemulsification

摘要:

目的：探讨白内障超声乳化术中角膜后弹力层脱离的原因以及术中能够采取的有效治疗措施。

方法：对2007-01/2012-12在我院东区分院实施的997例白内障超声乳化摘除联合人工晶状体植入术的患者进行回顾分析，对其中的21例发生角膜后弹力层脱离的患者的治疗及预后进行临床观察。

结果：不同程度角膜后弹力层脱离的患者21例经过相应治疗，视力都得到了不同程度的恢复，无发生角膜内皮失代偿的患者，效果满意。

结论：及早发现，及时采取相应的治疗措施对角膜后弹力层脱离患者的视力预后有着决定性的意义。

Abstract:

AIM:To discuss the causes and therapeutic measures of Descemet's membrane detachment during phacoemulsification(Phaco).

METHODS: A retrospective analysis of 997 patients who had operations of Phaco and intraocular lens(IOL)implantation at the eastern part of Yangzhou No.1 People's Hospital during 2007-2012. The treatment and prognosis of 21 patients who had the complication of Descemet's membrane detachment during the surgery were observed.

RESULTS: The vision acuity of all the 21 patients had improved to different extent after therapy, no one had the decompensation of corneal endothelium.

CONCLUSION: Early detection and treatment is decisive for the vision acuity of the patients who had the Descemet's membrane detachment.