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題名 | 白內障超音波乳糜化手術中發生之晶核下沉--病例報告=Retained Lens Marterial after Phacoemulsification |
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作者 | 王孟祺; 翁林仲; 楊正烽; 張松柏; Wang, Meng-chi; Woung, Lin-chung; Yang, Cheng-feng; Chang, Sung Po; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19970900 |
卷期 | 36:3 1997.09[民86.09] |
頁次 | 頁216-221 |
分類號 | 416.744 |
語文 | chi |
關鍵詞 | 白內障超音波乳糜化手術; Retained lens fragments; Trans pars plana vitrectomy; Phacoemulsification; |
中文摘要 | 晶體下沉及殘餘晶核是白內障手術的一個嚴重併發症,尤其在轉型至超音波乳糜 化手術時應特別注意。本文報告四個病例,其中兩例接受了標準的經睫狀體平坦部玻璃體切 除術;兩例以保守療法追蹤治療。長期追蹤觀查併發症及視力變化,來討論發生此手術併發 症時最適當的處理方式。由目前的文獻報告,發生此併發症不一定要立刻接受玻璃體切除術 ,除非懷疑有視網膜剝離。但若併發症在短期內無法由藥物控制,或因為玻璃體混濁而使視 力恢復不良,玻璃體切除術還是最好的選擇。轉介照會玻璃體網膜專家,共同討論研判最佳 的治療方法及適當的手術時機,應是發生此併發症時應有的態度。 |
英文摘要 | Retained lens material is a severe complication of cataract surgery, especially when surgeons are beginning to perform phacoemulsification. We reported 4 cases of such complications (2 cases received pars plana vitrectomy with removal of lens material; the others received conservative treatment) and discuss how to treat these patients. From the previous repors, unless a retinal detachment or retinal tear is suspected, immediate removal of retained lens is not necessary. If complications such as secondary glaucoma, vitritis or vitreous opacity are unable to be controlled by medications, vitrectomy with removal of lens material is the choice of treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。