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白内障手术中晶状体后囊膜破裂的相关因素研究

张敏 朱健华 林宇驰

中国现代医学杂志2017,Vol.27Issue(2):126-129,4.
中国现代医学杂志2017,Vol.27Issue(2):126-129,4.DOI:10.3969/j.issn.1005-8982.2017.02.025

白内障手术中晶状体后囊膜破裂的相关因素研究

Factors related to rupture of posterior capsule of lens during cataract surgery

张敏 1朱健华 1林宇驰1

作者信息

  • 1. 贵州省妇幼保健院 眼科,贵州 贵阳 550004
  • 折叠

摘要

Abstract

Objective To explore the factors related to rupture of posterior capsule of the lens during cataract surgery. Methods This study selected 36 patients (37 eyes) with posterior capsule rupture of the lens during cataract surgery treated in our hospital from February 2014 to April 2015. In accordance with the ratio of 1: 4, 144 cases of unruptured posterior capsule (147 eyes) were selected, Visual acuity was compared between the two groups of patients, and the relevant factors of posterior capsular rupture were analyzed. Results In the rupture group, 1 case had visual acuity<0.1, 5 cases had visual acuity of 0.1-0.3, 19 cases had visual acuity of 0.4-0.8, 12 cases had visual acuity≥0.9. In the unruptured group, 1 case had visual acuity<0.1, 7 cases had visual acuity of 0.1-0.3, 68 cases had visual acuity of 0.4-0.8, 71 cases had visual acuity ≥0.9. There were significant differences in Emery nuclear grade, preoperative visual acuity, hypertension, intraocular lens implantation and vitreous hemorrhage between the two groups ( < 0.05). Multivariate logistic regression analysis showed that preoperative visual acuity and vitreous hemorrhage were the independent risk factors for posterior capsule rupture of the lens during cataract surgery ( < 0.05). Conclusions Posterior capsule rupture of the lens during cataract surgery can reduce visual acuity. Preoperative visual acuity and vitreous hemorrhage are the independent risk factors for posterior capsule rupture of the lens.

关键词

白内障/晶状体/后囊膜破裂/因素

Key words

cataract/lens/posterior capsular rupture/factor

分类

医药卫生

引用本文复制引用

张敏,朱健华,林宇驰..白内障手术中晶状体后囊膜破裂的相关因素研究[J].中国现代医学杂志,2017,27(2):126-129,4.

中国现代医学杂志

OACSTPCD

1005-8982

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