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Delayed corneal edema after phacoemulsification cataract extraction

Wei Qiang Zhou, 张龙禄, 陈桂文, 吴姗姗

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Abstract

目的:探讨超声乳化白内障摘出术后迟发性角膜水肿的原因及预防方法.方法:对进行超声乳化白内障吸出术的90例(100只眼)术后在裂隙灯显微镜下对角膜进行连续性的观察.随访时间3~12月.结果:8例(8眼)于术后5~41天出现迟发性角膜水肿,发生率为8%,平均年龄68.8岁.糖尿病性白内障及有糖尿病史的白内障患者的迟发性角膜水肿的发生率为22.2%;老年性白内障病例迟发性角膜水肿的发生率为5.6%.结论:超声乳化白内障吸出术后发生迟发性角膜水肿的原因有手术切口间歇性渗漏、角膜内皮功能不良和迟发性手术反应.预防办法宜针对不同原因采取不同的措施.

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目的:探讨超声乳化白内障摘出术后迟发性角膜水肿的原因及预防方法.方法:对进行超声乳化白内障吸出术的90例(100只眼)术后在裂隙灯显微镜下对角膜进行连续性的观察.随访时间3~12月.结果:8例(8眼)于术后5~41天出现迟发性角膜水肿,发生率为8%,平均年龄68.8岁.糖尿病性白内障及有糖尿病史的白内障患者的迟发性角膜水肿的发生率为22.2%;老年性白内障病例迟发性角膜水肿的发生率为5.6%.结论:超声乳化白内障吸出术后发生迟发性角膜水肿的原因有手术切口间歇性渗漏、角膜内皮功能不良和迟发性手术反应.预防办法宜针对不同原因采取不同的措施.

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Available abstract

目的:探讨超声乳化白内障摘出术后迟发性角膜水肿的原因及预防方法.方法:对进行超声乳化白内障吸出术的90例(100只眼)术后在裂隙灯显微镜下对角膜进行连续性的观察.随访时间3~12月.结果:8例(8眼)于术后5~41天出现迟发性角膜水肿,发生率为8%,平均年龄68.8岁.糖尿病性白内障及有糖尿病史的白内障患者的迟发性角膜水肿的发生率为22.2%;老年性白内障病例迟发性角膜水肿的发生率为5.6%.结论:超声乳化白内障吸出术后发生迟发性角膜水肿的原因有手术切口间歇性渗漏、角膜内皮功能不良和迟发性手术反应.预防办法宜针对不同原因采取不同的措施.

Key concepts: Phacoemulsification, Ophthalmology, Cataract extraction, Medicine, Visual acuity

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