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作者对106例现代囊外白内障摘除术中发生后囊破裂的原因、临床特征及术中处理进行了分析.其中外伤性白内障22例术前已存在后囊的裂孔,裂孔边缘较厚,在晶体皮质抽吸过程中无扩大或玻璃体脱出,并顺利植入了后房人工晶体.84例为老年性白内障术中新鲜形成的后囊破裂,其边缘较薄,术中有扩大的趋势.其中47例(56%)经处理后植入了后房人工晶体.术中后囊破裂的主要原因是机械性损伤.本文对后囊破裂的术中处理,粘弹剂及玻璃体切除在术中的应用进行了讨论.
The authors analyzed the causes, clinical features and intraoperative management of posterior capsular rupture in 106 cases of extracapsular cataract extraction.Among them, 22 cases of traumatic cataract had posterior capsule of the posterior capsule, the edge of the hole was thick, There was no enlargement or vitreous prolapse during cortical aspiration, and the posterior chamber intraocular lens was implanted successfully.Among the 84 cases, posterior capsular rupture was newly formed in senile cataract surgery, with a thinner margin and an expanding tendency during operation. (56%) were implanted posterior chamber intraocular lens implantation after surgery, the main reason for posterior capsule rupture is mechanical injury.In this paper, the treatment of posterior capsule rupture, viscoelastic and vitrectomy in surgery Discussed.