Eric L. Wasserman M.D., Joel C. Axt O.D., Ph.D., John H. Sheets M.D.
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引用次数: 73
摘要
白内障手术后常见的后囊混浊是由珍珠形成或纤维化引起的。本文介绍了367 Nd:YAG激光后囊膜切除术的研究结果,并讨论了其风险和益处。特别注意的是眼压(IOP),角膜内皮细胞完整性和视力。平均最大诱导IOP升高1.4 mm Hg,发生在囊膜切开后1小时内。平均角膜内皮细胞变化为7%或115个细胞/mm2。87.5%的患者视力改善至20/30以上。
Posterior capsule opacification, caused by pearl formation or fibrosis, occurs commonly following cataract surgery. This paper presents results of a study of 367 Nd:YAG laser posterior capsulotomies and discusses both risks and benefits. Specific attention has been given to intraocular pressure (IOP), corneal endothelial cell integrity, and visual acuities. The average maximum induced IOP rise was 1.4 mm Hg and this occurred within one hour of the capsulotomy. The average corneal endothelial cell change was a loss of 7% or 115 cells/mm2. Visual acuity improved to better than 20/30 in 87.5% of patients.