Nd∶YAG激光治疗白内障术后囊袋收缩综合征

doi:10.3760/cma.j.cn115909-20190831-00238

Abstract
Figure/Table
References (10)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To explore the clinical characteristics of patients with capsular contraction syndrome (CCS) after cataract phacoemulsification, and the clinical efficacy of Nd∶YAG laser treatment; to provide a reference for the prevention and treatment of post-cataract complications. Methods: In this retrospective case-control study, the relevant clinical data from 23 patients (25 eyes) with symptomatic CCS after cataract phacoemulsification were collected in patients who were admitted to the Department of Ophthalmology, Cangnan Hospital Affiliated to Wenzhou Medical University from January 2017 to June 2019 and who were treated with Nd∶YAG laser. The clinical characteristics and influencing factors of patients with capsular contraction syndrome were summarized and the effect of Nd∶YAG laser treatment was studied.All cases were followed up for 6 months or more, and the data were tested by a paired design symbol rank sum test. Results: All 23 patients with CCS complained that their visual acuity decreased than discharge. Their circular capsulorhexis was reduced and eccentric. Anterior capsule hyperplasia was evident, and the width of the annular hyperplasia fiber ring was >2 mm. After mydriasis, 19 eyes had an IOL decentration, 3 eyes had IOL tilt, and 1 eye had an IOL held in the capsular sac. These conditions occurred in 13 eyes 3 to 5 weeks after phacoemulsification, accounting for 52%. The patients' underlying disease was an important influencing factor for concurrent CCS. Visual acuity did not improve in 3 patients with a tilted IOL (2 patients with retinitis pigmentosa and 1 elderly patient with dislocation due to lax ligament relaxation) and 1 patient with an IOL holder. Subjective symptoms disappeared after treatment in those patients who complained of glare or monocular diplopia before treatment. After Nd∶YAG laser anterior capsulotomy, the anterior capsular contraction ring was opened, and the capsular contraction was relieved. There was no intraocular lens deviation or dislocation during the follow-up period, and no serious complications. Conclusions: Nd∶YAG laser treatment of CCS is reliable, simple and safe.

Key words： capsular contraction syndrome Nd∶YAG lasers cataract phacoemulsification

Received: 31 August 2019

Corresponding Authors: Feng Hua, Department of Ophthalmology, Cangnan Hospital Affiliated to Wenzhou Medical University, Wenzhou 325800, China (Email: huaf766@126.com)

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20190831-00238 OR https://www.cjoovs.com/EN/Y2020/V22/I7/536

[1]	张洪洋. 连续环形撕囊相关的囊袋收缩综合征. 国外医学(眼科学分册), 2002, 26(1): 10-14. DOI: 10.3760/cma.j.issn.1673- 5803.2002.01.003.
[2]	王建民, 李建平, 李琳琳, 等. Nd∶YAG激光治疗后发性白内障对角膜内皮影响的研究. 山东大学耳鼻喉眼学报, 2014, 28(2): 87-89. DOI: 10.6040/j.issn.1673-3770.0.2013.331.
[3]	Zambarakji HJ, Rauz S, Reynolds A, et al. Capsulorhexis phymosis following uncomplicated phacoemulsification surgery. Eye (Lond), 1997, 11(Pt 5): 635-638. DOI: 10.1038/eye.1997. 168.
[4]	林兴中. 白内障超声乳化术后晶状体前囊膜混浊临床分析.中国医疗器械信息, 2017, 23(24): 92-94. DOI: 10.3969/j.issn. 1006-6586.2017.24.046.
[5]	徐欢欢, 顾耀武, 赵长霖, 等. 白内障超声乳化术后囊袋收缩综合征的临床分析. 眼科新进展, 2015, 35(1): 71-74. DOI: 10.13389/j.cnki.rao.2015.0020.
[6]	徐蕾, 李朝辉, 叶子. 白内障超声乳化术后晚期囊袋阻滞综合征临床分析. 解放军医学院学报, 2014, 35(8): 820-822. DOI: 10.3969/j.issn.2095-5227.2014.08.012.
[7]	卢雪梅. 超声乳化术后并发囊袋收缩综合征35例临床分析.右江民族医学院学报, 2006, 28(6): 1041-1042. DOI: 10.3969/ j.issn.1001-5817.2006.06.098.
[8]	杨安怀, 胡焰山, 李拓. 白内障术后晚期人工晶状体脱位的研究进展. 国际眼科杂志, 2017, 17(9): 1674-1677. DOI: 10.3980/ j.issn.1672-5123.2017.9.17.
[9]	伍海建, 张龄洁. Nd∶YAG激光治疗囊袋相关综合征的疗效分析. 中华眼视光学与视觉科学杂志, 2015, 17(6): 371-375. DOI: 10.3760/cma.j.issn.1674-845X.2015.06.013.
[10]	Altintas A, Dal D, Simsek S. Significant intraocular lens folding due to severe capsular contraction. Jpn J Ophthalmol, 2008, 52(2): 134-136. DOI: 10.1007/s10384-007-0500-z.