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頁籤選單縮合
題名 | Early Postoperative Capsular Block Syndrome=早發性術後水晶體包囊阻塞症候群 |
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作者姓名(中文) | 何昭德; 李建興; 陳泓橋; 何正廉; 陳珊霓; | 書刊名 | 長庚醫學 |
卷期 | 26:10 2003.10[民92.10] |
頁次 | 頁745-753 |
分類號 | 416.744 |
關鍵詞 | 術後水晶體包囊阻塞症候群; 連續性前囊切開術; 超音波晶體乳化術; 白內障; Capsular block syndrome; Continuous curvilinear capsulorhexis; Phacoemulsification; Cataract; |
語文 | 英文(English) |
中文摘要 | 背景:術後水晶體包囊阻塞症候群為一和白內障手術中使用連續性前囊切開術(CCC)有關之獨特但罕見之併發症。本研究將探討該併發症之臨床表現及治療。 方法:採回溯性研究,收集自1998年10月至2002年9月發生之早發性術後水晶體包囊阻塞症候群之病例。所有個案均曾接受超音波晶體乳化術合併人工水晶體植入,於術中均曾使用連續性前囊切開術(CCC)。在發生該症候群後,若於延蹤期間並未自行緩解或產生眼壓升高之現象時,則施行銣:雅各雷射前囊或後囊切開術。 結果。本研究共收集4年內共8位病患(8隻眼睛),這些眼眼在接受白內障手術後一週內均表現有前房變淺、人工水晶體向前位移、水晶體包囊膨脹以及近視度數加深之情況,其中一眼合併有續發性隅角閉鎖性青光眼。在追蹤期間,該症候群並無自行緩解之現象。施行銣:雅各雷射前囊切開術(4隻眼睛)或後囊切開術(4隻眼睛)均可有效治療該症候群,並使合併有青光眼之病例之眼壓恢復正常。 結論:在大部分情況下,術後水晶體包囊阻塞症候群並不會自行緩解;另一方面,只有一小部份之眼睛會合併有青光眼之現象,銣:雅各獲射前囊或後囊切開術可以成功治療此症候群。 |
英文摘要 | Backgournd: Postopertive capsular block syndrome (CBS) is a unique and rare complication of continuous curvilinear capsulaorhexis (CCC). The purpose of this study as to analyze the clinical characteristics and results of early postoperative CBS. Methods: Patients who developed early postoperative CBS after cataract surgery from October 1998 through September 2002 were retrospectively identified. All eyes underwent smooth phacoemulsification after anterior CCC. An intraocular lens (IOL) was implanted into the capsular bag. Neodymium: YAG (Nd: YAG) laser peripheral anterior capsulotomy or posterior capsulotomy was performed when resolution did not occur or the intraocular pressure was elevated. Results: Eight eyes of eight patients were included in the study. These patients presented with a shallow anterior chamber, anteriorly displaced IOL, distended capsular bag, and myopic shift within the first week after the surgery. One eye was associated with secondary angle-closure glaucoma. No CBS resolved without intervention during the follow-up glaucoma. No CBS resolved without intervention during the follow-up period. The Nd: YAG laser peripheral anterior capsulotomy (4 eyes) and posterior capsulotomy (4 eyes) were successful in resolving the CBS in all eyes, and normalized the intraocular pressure in the eye with secondary angle-closure glaucoma. Conclusion: Postoperative CBS did not resolve spontaneously in most cases. Only a small percentage of early postoperative CBS was associated with secondary glaucoma. The Nd: YAG laser peripheral anterior capsulotomy and posterior capsulotomy were successful in treating postoperative CBS. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。