解放军医学院学报2025，Vol.46Issue(11)：1083-1089,7.DOI:10.12435/j.issn.2095-5227.25092402
超声乳化术后的角膜水肿危险因素、预防及治疗综述
Risk factors,prevention and treatment of corneal edema after phacoemulsification
摘要
Abstract
The core issue of corneal edema after phacoemulsification lies in the dysfunction of the"pump-barrier"mechanism caused by damage to corneal endothelial cells.Its occurrence is influenced by multiple risk factors,including patient-specific conditions,intraoperative procedures,and postoperative management.Therefore,prevention and treatment must be systematic:the primary focus is on prevention,emphasizing meticulous preoperative assessment and optimized surgical techniques to minimize endothelial damage.Once edema occurs,a personalized,stepwise approach is required.Mild to moderate edema is primarily managed with medications to promote absorption,while severe edema unresponsive to medication,Descemet's membrane detachment,or corneal decompensation necessitate surgical intervention.In summary,successful management relies on the comprehensive identification of risk factors,meticulous perioperative care,and targeted treatment.The fundamental breakthrough for the future lies in promoting effective regeneration and repair of endothelial cells.关键词
角膜水肿/白内障/角膜后弹力层脱离/超声乳化术Key words
corneal edema/cataract/descemet's membrane detachment/phacoemulsification分类
医药卫生引用本文复制引用
张奇,陈舒婷,叶子,李朝辉..超声乳化术后的角膜水肿危险因素、预防及治疗综述[J].解放军医学院学报,2025,46(11):1083-1089,7.基金项目
省部级课题 （）
