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目的:探讨后囊膜连续环形撕囊(PCCC)在白内障手术中的意义。方法:回顾性研究分析2003-01/2010-12在我院行白内障超声乳化手术、术中后囊膜破裂非计划行后囊膜连续环形撕囊的病例,定期观察最佳矫正视力、角膜内皮计数、眼压、角膜水肿情况、前房Tyndall’s征、瞳孔及人工晶状体位置情况。结果:术后1mo,PCCC组与未行PCCC组的最佳矫正视力0.8以上的差异有统计学意义;术后1mo,PCCC组与未行PCCC组的角膜内皮计数、眼压、角膜水肿情况、前房Tyndall’s征的差异均无统计学意义。结论:后囊膜破裂后在可行PCCC的病例中可以更有效地减少术后并发症,使患者得到更稳定舒适的视觉效果。
Objective: To investigate the significance of posterior capsular continuous curvilinear capsulorhexis (PCCC) in cataract surgery. Methods: A retrospective analysis of 2003-01 / 2010-12 in our hospital cataract phacoemulsification surgery, intraoperative rupture of the posterior capsule rupture of the unintended posterior continuous curvilinear capsulorhexis cases, regular observation of the best corrected visual acuity, corneal endothelial Count, intraocular pressure, corneal edema, Tyndall’s anterior chamber sign, pupil and intraocular lens position. Results: At 1 month after operation, the best corrected visual acuity of 0.8 in PCCC group was significantly higher than that in non-PCCC group. The corneal endothelial count, intraocular pressure, corneal edema, There was no significant difference in Tyndall’s sign in the anterior chamber. CONCLUSIONS: Posterior capsular rupture can reduce the postoperative complications more effectively in the case of viable PCCC and make the patients get more stable and comfortable visual effects.