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目的 :探讨透明角膜切口白内障超声乳化吸除术中后囊破裂的处理方法及疗效。方法 :对 3 4例、3 6眼透明角膜切口白内障超声乳化吸除术中后囊破裂的病例经前段玻璃体切割 ,扩大切口植入硬性人工晶状体 ,并与同期同种手术中未破后囊 446例、472眼进行对比。结果 :术后 3 6眼中术后第 1天裸眼视力≥ 0 5者占 95 % ;术后 1月裸眼视力≥ 1 0者占 62 % ,并趋于稳定。角膜散光术前为 0 .71± 0 .79D。术后 3 0d、90d分别为 0 .78± 0 .81D、0 .80±0 .77D ,与术前差异无显著性 (P >0 .0 5 )。结论 :透明角膜切口白内障超声乳化吸除术中后囊破裂后经适当处理 ,可达到理想的治疗效果
Objective: To investigate the treatment and treatment of posterior capsule rupture in phacoemulsification cataract extraction. Methods: Thirty-four cases and 36 cases of clear corneal incision cataract phacoemulsification in the posterior capsule rupture cases by anterior vitrectomy and expand the incision implants hard intraocular lens implantation, and with the same period of operation in the unruptured posterior capsule 446 For example, 472 eyes were compared. Results: In the 36 eyes after operation, the uncorrected visual acuity of 0% was 95% on the first day after operation. The uncorrected visual acuity of ≥10 accounted for 62% at 1 month after operation and tended to be stable. Corneal astigmatism was 0.71 ± 0.79D. There were no significant differences between the two groups (P> 0.05) at 3 days and 90 days after operation, respectively. There was no significant difference between preoperative and postoperative 0. 78 ± 0.81D and 0. 80 ± 0. Conclusion: The treatment of transparent corneal incision cataract phacoemulsification in the posterior capsule rupture after proper treatment, can achieve the desired effect of treatment