[1]李海燕,马 波,柴 芳,等.前房注气术治疗白内障超声乳化术后角膜后弹力层脱离临床研究[J].陕西医学杂志,2019,(9):1182-1185.
　LI Haiyan,MA Bo,CHAI Fang,et al.Clinical study of anterior air injection for descemet’s membrane detachment caused〖JZ〗by cataract phacoemulsification[J].,2019,(9):1182-1185.
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前房注气术治疗白内障超声乳化术后角膜后弹力层脱离临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年9期
页码:
1182-1185
栏目:
临床研究
出版日期:
2019-09-05

文章信息/Info

Title:
Clinical study of anterior air injection for descemet’s membrane detachment caused〖JZ〗by cataract phacoemulsification
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007377.2019.09.020
作者:
李海燕; 马 波; 柴 芳; 曹 娟△
西安市第四医院眼科 （西安 710004）
Author(s):
LI Haiyan; MA Bo; CHAI Fang; et al.
Department of Opthalmology,Xi’an No.4 Hospital(Xi’an 710054)
关键词:
白内障; 超声乳化手术; 后弹力层脱离; 前房注气术
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Cataract; Phacoemulsification; Descemet’s membrane detachment; Anterior air injection
分类号:
R737.31
文献标志码:
A
摘要:
摘 要 〖HT5K〗目的：观察前房注气术治疗白内障超声乳化术后角膜后弹力层脱离（DMD）的临床效果。方法： 收集白内障超声乳化术后发生角膜后弹力层脱离的患者28例（28眼）。所有患者均于术后3周内行前房注入消毒空气，利用气泡顶压使脱离的后弹力层复位；后弹力层复位不良或空气吸收后仍未复位者，以同样方法再次行前房注气，对后弹力层复位及视力预后情况进行临床观察。结果： 28例患者经前房注气后角膜后弹力层均复位，其中17例经1次前房注气，11例经2~3次前房注气后角膜透明，视力都得到了不同程度恢复。1例重度脱离伴部分后弹力层脱失患者恢复较慢，3个月后角膜恢复透明。结论：前房注气术是治疗白内障超声乳化术后角膜后弹力层脱离的有效方法，操作可重复，创伤小，临床疗效确切。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective：To observe clinical efficiency of anterior air injection in treating descemet’s membrane detachment (DMD) caused by cataract phacoemulsification surgery. Methods：Twentyeight patients (17 eyes) who were performed anterior air infusion for descemet’s membrane detachment caused by phacoemulsification cataract surgery. All patients’ anterior chamber was injected with sterile air to reset DMD within 3 weeks. Repeated anterior air injection were performed when DMD had not been reset. Final status of descemet’s membrane，and bestcorrected visual acuity were noted. Results：28 patients had attached descemet’s membrane after anterior air injections，and the cornea became transparent in 17 patients after a single gas injection and 7 patients after two or three gas injections. The visions of 28 patients were improved to a distinct degree. One patient’s corneal descemet’s membrane recovered slowly until 3 months after the injection. Conclusion：Anterior air injection can treat corneal Descemet’s membrane detachment during cataract surgery. The method is simple and can be operated repeatedly with obvious clinical efficiency.

参考文献/References:

[1] 〖ZK（#〗曾洪波，宋春华，彭 璟，等. 超声乳化术与小切口非超声乳化术治疗老年性白内障临床疗效对比研究 [J] . 陕西医学杂志，2018，47(11)：3436.
[2] Jain R，Mohan N. Outcomes of repeat descemetopexy in postcataract surgery descemet membrane detachment [J] . Am J Ophthalmol，2014，157(3)：571575.
[3] 曾晓莉，黄学文，赵凤琼.内眼手术后角膜后弹力层脱离的临床分析 [J] . 国际眼科杂志，2016，16(5)：952954.
[4] Jain R，Murthy SI，Basu S，et al. Anatomic and visual outcomes of descemetopexy in postcataract surgery descemet's membrane detachment [J] . Ophthalmology，2013，120(7)：13661372.
[5] Odayappan A，Shivananda N，Ramakrishnan S，et al. A retrospective study on the incidence of postcataract surgery descemet's membrane detachment and outcome of air descemetopexy [J] . Brit J Ophthalmol，2018，102(2)：182186.
[6] 崔健怡，胡水清. 超声乳化吸出联合蓝光滤过型人工晶状体植入术对白内障患者视功能康复及生活质量的影响[J] . 陕西医学杂志，2019，48(2)：110113.
[7] Samarawickrama C，Beltz J，Chan E. Descemet's membrane detachments post cataract surgery：A management paradigm [J] . Int J Ophthalmol，2016，9(12)：18391842.
[8] 吴利安，王丛毅，杨 文，等. 手术后角膜后弹力层脱离的原因分析和治疗 [J] . 中华眼外伤职业眼病杂志，2015，37(6)：419423.
[9] 李俊宁，邓之华. 人工晶体植入术并发角膜后弹力层脱离的临床分析[J] . 广西医学，2009，31(4)：540541.〖ZK)〗
[10] 〖ZK(#〗单将成，张军辉，邱海雁. 白内障术后角膜后弹力层脱离的临床观察 [J] . 国际眼科杂志，2018，18(11)：135137.
[11] 郝 宇，金 玲. 白内障超声乳化术致角膜后弹力层脱离分析治疗 [J] . 中国实用眼科杂志，2010，28(7)：779781.
[12] 王丽萍，王雨生，王颖维，等. 角膜前基质层异物伤后迟发性后弹力层脱离1例 [J] . 中华眼科杂志，2018，54(6)：466468.
[13] Yoon HY，Kim HS，Hwang HB. Guided intracameral air injection based on 3D reconstructed anterior optical coherence tomography images in iatrogenic descemet's membrane detachment：Case report [J] . Medicine，2018，97(43)：e13003.
[14] Sharma A，Singh SK，Bhutia PL，et al. Perfluoropropane (C3F8) injection for descemet's membrane detachment in cataract surgery [J] . Nepal J Ophthalmol，2015，7(1)：7478.
[15] 焦建慈，王璐璐，景聪荣，等. 前房充气术治疗内眼手术后角膜后弹力层脱离[J] . 中华眼外伤职业眼病杂志，2016，38(4)：280282.

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更新日期/Last Update: 2019-09-24