|本期目录/Table of Contents|

[1]路承喆,于莎莎.后极性白内障高频超声图像分析[J].天津医科大学学报,2019,25(05):514-515+519.
 LU Cheng-zhe,YU Sha-sha.High frequency ultrasound image analysis of posterior polar cataract[J].Journal of Tianjin Medical University,2019,25(05):514-515+519.
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后极性白内障高频超声图像分析(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
25
期数:
2019年05期
页码:
514-515+519
栏目:
临床医学
出版日期:
2019-09-20

文章信息/Info

Title:
High frequency ultrasound image analysis of posterior polar cataract
文章编号:
1006-8147(2019)05-0514-02
作者:
路承喆于莎莎
(天津市眼科医院白内障中心,天津市眼科学与视觉科学重点实验室,天津市眼科研究所,天津医科大学眼科临床学院,天津 300020)
Author(s):
LU Cheng-zhe YU Sha-sha
(Cataract Treatment Center, Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China)
关键词:
后极性白内障后囊膜超声检查手术
Keywords:
posterior polar cataract posterior capsule examination surgery
分类号:
R776.1
DOI:
-
文献标志码:
A
摘要:
目的:利用高频超声检查,分析判断后极性白内障后囊膜是否存在先天性缺陷。方法:选择2016-2018年间,我院确诊并完成手术的15名后极性白内障患者的25只眼,术前进行25MHz高频B超检查,分析其图像资料,判断其后囊膜是否存在先天性异常,以指导白内障手术,并与术中发现进行比较分析。结果:15名患者25只手术眼中,术前判断后囊膜完整的22眼,判断后囊膜完整但不排除有粘连,后囊膜先天缺陷3眼。术中发现,后囊膜判断先天异常的3眼,后囊膜均出现破裂。后囊膜判断完整的病例术中后囊膜保持完整,但部分发生局限的粘连或混浊。结论:25MHz高频B超的应用可以在术前明确术中必定出现的后囊膜破裂病例,为针对性的术中处理和减少并发症创造了条件。
Abstract:
Objective: To determine whether the congenital abnormality of posterior capsule (PC) is accompanied in posterior polar cataract(PPC) eyes. Methods: Patients clinically diagnosed with PPC and planed cataract surgeries during 2016-2018 in Tianjin Eye Hospital were recruited. All patients received 25MHz B scan before surgery. 25MHz B scan images were further analyzed to determine the status of PC before phacoemulsification surgery. Meanwhile the PC was checked during operation. Comparison between 25 MHz B scan images and real state of PC during surgery was also performed. Results: A total of 25 eyes from 15 patients were included. Out of the 25 eyes, there were 22 eyes confirmed with intact PC, while the other 3 showed dehiscence before surgery. During operation, 22 eyes were observed with intact PC as the preoperative results. The other 3 eyes presented with PC adherence that detected by 25MHz B scan before surgery turned to be posterior capsule rupture(PCR). Conclusion: 25MHz B scan could clearly visualize the status of PC in PPC, especially for the eyes with high occurrence of PCR. In addition, the 25MHz B scan may guide specific and proper treatment; thereby avoiding further complications during operation.

参考文献/References:

[1] Lee M W, Lee Y C. Phacoemulsification of posterior polar cataract-a surgical challenge[J]. Br J Ophthalmol,2003,87(11):1426
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备注/Memo

备注/Memo:
作者简介 路承喆(1975-),男,副主任医师,硕士,研究方向:白内障;E-mail: marco-luu@hotmail.com。
更新日期/Last Update: 2019-10-11