摘要: |
后囊膜破裂(posterior capsule rupture,PCR)是白内障超声乳化术中最常见的威胁术后视力的并发症之一。PCR不仅影响手术进程如人工晶体植入,还会导致一系列术中、术后并发症。其发生与多种因素有关,如患者情况(浅前房、前房过深、小瞳孔、白内障类型及核的硬度、假性剥脱综合征)、手术操作者的熟练程度及各种术中因素等。为了全面认识PCR,并降低临床上PCR的发生率,本文就其发生相关因素进行综述。 |
关键词: 白内障 超声乳化 晶状体 后囊膜破裂 |
DOI:10.12025/j.issn.1008-6358.2020.20192349 |
分类号: |
基金项目:国家自然科学基金(81371044),上海市浦江人才计划(17PJD041),上海市奉贤区科委基金(20141320). |
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Analysis of risk factors for posterior capsule rupture in phacoemulsification |
ZHANG Chun-jian1,2, XU Fang2, WU Jin-hui3
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1.Navy Medical University, Shanghai 200433, China;2.Department of Ophthalmology, Fengxian District Hospital of Traditional Chinese Medicine, Shanghai 201499, China;3.Department of Ophthalmology, the Third Affiliated Hospital, Navy Medical University, Shanghai 200438, China
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Abstract: |
Posterior capsule rupture (PCR) is one of the most common complications threatening postoperative vision in cataract phacoemulsification, which not only affects the surgical process such as intraocular lens implantation, but also leads to a series of intraoperative and postoperative complications. PCR is related to various factors, such as the general characteristics of the patients (shallow anterior chamber, deep anterior chamber, small pupil, specific type of cataract, cataract lens nucleus hardness, pseudo-exfoliation syndrome), surgical operators' proficiency, and various intraoperative factors. In order to fully understand PCR and reduce the incidence of clinical PCR, this article reviews the risk factors for PCR. |
Key words: cataract phacoemulsification lens posterior capsule rupture |