|本期目录/Table of Contents|

[1]尹源源,施玉英,张小建,等.超声乳化技术在超低密度角膜内皮白内障手术中的应用探讨[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):393-394,401.[doi:10.3969/j.issn.1672-271X.2016.04.017]
　YIN Yuan-yuan,SHI Yu-ying,ZHANG Xiao-jian,et al.Application of technique in cataract phacoemulsification surgery of ultra low density corneal endothelium[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(04):393-394,401.[doi:10.3969/j.issn.1672-271X.2016.04.017]
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超声乳化技术在超低密度角膜内皮白内障手术中的应用探讨()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年04期
页码:
393-394,401
栏目:
出版日期:
2016-08-20

文章信息/Info

Title:
Application of technique in cataract phacoemulsification surgery of ultra low density corneal endothelium
作者:
尹源源1; 施玉英2; 张小建1; 黎宁1; 王燕1
1. 100026北京, 北京市华德眼科医院 ；2. 100730北京, 北京市同仁医院
Author(s):
YIN Yuan-yuan1; SHI Yu-ying2;  ZHANG Xiao-jian1;  LI Ning1;  WANG Yan1.
1.Beijing Huade Eye Hospital,Beijing 100026,China; 2. Beijing Tongren Hospital, Beijing 100730, China
关键词:
超低密度角膜内皮;  超声乳化;  软壳技术;  水平劈核
Keywords:
ultra low density corneal endothelium;  phacoemulsification;  soft shell technology;  horizontal nuclear chop
分类号:
R776.1
DOI:
10.3969/j.issn.1672-271X.2016.04.017
文献标志码:
A
摘要:
目的 探讨超低密度角膜内皮白内障患者行超声乳化手术中的技术要点。方法 对13例（16只眼）角膜内皮计数<1000/mm2的白内障患者行超声乳化吸除及人工晶体植入术。其中角膜内皮细胞 密度为660~800/mm2的2眼,800~900/mm2的9眼,900~1000/mm2的5眼,Ⅱ级核5眼,Ⅲ级核8眼,Ⅳ级核3眼。均进行超声乳化吸出及人工晶体植入术,术中将眼内压平衡技术、软壳技术及水平劈核技术相结合。 结果 术后视力均有不同程度提高,无角膜失代偿者。角膜内皮细胞丢失率在（6.2±2.3）%。结论 超低密度角膜内皮不再是白内障手术的禁区,依靠谨慎地操作和熟练的技巧,仍可以获得良好的效果。
Abstract:
Objective To investigate the key points of phacoemulsification in cataract patients with ultra low density corneal endothelium. Methods Phacoemulsification and intraocular lens implantation were performed in 13 patients (16 eyes) with corneal endothelium count <1000/mm2. The corneal endothelial cell density was 660~800/mm2 in 2 cases, 800~900/mm2 in 9 cases, and 900~1000/mm2 in 5 cases, Class II nucleus in 5 cases, grade III in 8 cases, grade IV in 3 cases. All eyes underwent phacoemulsification and intraocular lens implantation. In the operation, the intraocular pressure balance technique, the Duovisco viscoelastic soft shell technique and the technique of horizontal nuclear chopping in situ ultrasound were combined. Results Postoperative visual acuity was improved in different degree, without corneal loss of compensation. The loss rate of corneal endothelial cells was 6.2% ±2.3%. Conclusion Ultra low density of corneal endothelium is no longer restricted in cataract surgery by careful operation and skill, and can still get a good curative effect.

参考文献/References:

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更新日期/Last Update: 2016-07-20