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目的：探讨白内障术后应用Ｎｄ－ＹＡＧ激光治疗膜性白内障的方法及并发症的防治方法。方法：本文分 ＥＣＣＥ术后及 ＥＣＣＥ＋ＩＯＬ植入术后两组。根据两组术后形成的膜性白内障膜的厚薄，选择激光能量并分别采用“＋”字切开、横形、纵形及沿瞳孔边缘作开罐式切开或环形切开法。结果：激光手术效果满意，术后视力均明显提高。 ＥＣＣＥ术后组，激光术后最主要并发症为短期眼压升高，占４６． ４％。ＥＣＣＥ＋ ＯＬ植入术后组为人工晶体损伤，占 ３６． ６７％。结论： Ｎｄ－ＹＡＧ激光治疗膜性白内障，是一种安全、简便、有效的方法。掌握激光的操作要点及方法是防止并发症发生的关键。
Objective: To explore the method of Nd-YAG laser for cataract after cataract surgery and the prevention and treatment of complications. Methods: This article points ECCE and ECCE + IOL implantation after two groups. According to the thickness of the membranous cataract membrane formed by the two groups, the laser energy was selected and incised with “+”, transverse, longitudinal and along the edge of the pupil for open can cutting or circular incision respectively. Results: Satisfactory results of laser surgery, postoperative visual acuity were significantly improved. After ECCE, the main complication after laser surgery was short-term intraocular pressure (46%). 4%. ECCE + OL group after intraocular lens implantation injury, accounting for 36. 67%. Conclusion: Nd-YAG laser treatment of membranous cataract is a safe, simple and effective method. Master the operation of the laser points and methods to prevent the key to the occurrence of complications.