开窗术治疗白内障术后连续环形撕囊口纤维膜闭

doi:10.3760/cma.j.cn115909-20200607-00246

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Abstract Objective: To study the primary clinical effects that occur with fenestration membranectomy to produce an opening through the fibrous membrane closure of the continuous curvilinear capsulorrhexis (CCC) after cataract surgery. Methods: This was a restrospective study. Fifteen patients (15 eyes) had surgical CCC openings that were completely closed by a fibrous membrane after cataract surgery. They underwent fenestration with membranectomy in the Taizhou Eye Hospital between September 2011 and September 2018. The causes of fibrous membrane closure, surgical methodology and its effectiveness are also discussed. Results: Visual acuity improved significantly postoperative. Among them the uncorrected visual acuity (UCVA) was 0.2-0.3 in 4 eyes, 0.4-0.5 in 8 eyes and 0.6-0.7 in 3 eyes the next day after operation. The interior of the fenestration opening of the anterior capsule was transparent, the size of the fenestration opening was about 4.5 mm×5.0 mm, the intraocular lens (IOL) position was normal without displacement, and the optical part of IOL was flattened in all eyes postoperatively. None of the patients had major complaints about glare. Conclusions: The causes of fibrous membrane closure of the CCC opening may be related to the proliferation and migration of lens epithelial cells and fibroblasts after cataract surgery. The fibrous membrane closure of the CCC opening can be effectively solved by fenestration of the membrane and can significantly improve visual acuity

Key words： cataract continuous curvilinear capsulorrhexis membranous closure causes fenestration

Received: 07 June 2020

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Corresponding Authors: Haijian Wu, Taizhou Eye Hospital, Eye Center of Taizhou Municipal Hospital, Taizhou 318000, China (Email: tzwhj@126.com)

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https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20200607-00246 OR https://www.cjoovs.com/EN/Y2021/V23/I1/49

[1]	Andjeli? S, Zupan?i? G, Perovšek D, et al. Human anterior lens capsule epithelial cells contraction. Acta Ophthalmol, 2011, 89(8): e645-e653. DOI: 10.1111/j.1755-3768.2011.02199.x.
[2]	田甜, 刘伟, 季建. 囊袋皱缩综合征的研究进展. 中华眼科杂志, 2013, 49(1): 79-83. DOI: 10.3760/cma.j.issn.0412-4081.2013.01.022.
[3]	黄蓉, 管怀进, 周激波. 白内障摘除术后晶状体前囊膜收缩综合征临床病理分析三例. 中华眼科杂志, 2005, 41(1): 72-75. DOI: 10.3760/cma.j.issn.0412-4081.2005.01.022.
[4]	Abela-Formanek C, Amon M, Kahraman G, et al. Biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in eyes with uveitis having cataract surgery: Long-term follow up. J Cataract Refract Surg, 2011, 37(1): 104-112.
[5]	Malik A, Gupta N, Sood S. Capsular contraction syndrome following insertion of hydrophilic acrylic lens. Int Ophthalmol, 2011, 31(2): 121-123. DOI: 10.1007/s10792-011-9425-0.
[6]	Sacu S, Menapace R, Buehl W, et al. Effect of intraocular lens design and material on fibrotic capsule opacification and capsulorrrhexis. J Cataract Surg, 2004, 30(12): 1875-1882.
[7]	朱刚, 谢立信. 囊袋收缩综合征. 国外医学眼科学分册, 1999,23(4): 242-246.
[8]	毛肖丽, 张令洁. 囊袋收缩综合征31例分析. 中华眼视光学与视觉科学杂志, 2013, 15(10): 628-631. DOI: 10.3760/cma. j.issn.1674-845x.2013.10.012.
[9]	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.
[10]	伍海建, 张令洁. Nd∶YAG激光治疗囊袋收缩相关综合征的疗效分析. 中华眼视光与视觉科学杂志, 2015, 17(6): 371-375. DOI: 10.3760/cma.j.issn.1674-845x.2015.06.013.
[11]	陈吉孟, 李正义, 陈宝伟, 等. Nd∶YAG激光治疗白内障术后囊袋收缩综合征. 中华眼视光学与视觉科学杂志, 2020, 22(7): 536-539. DOI: 10.3760/cma.j.cn115909-20190831-00238.
[12]	徐德建, 张龄洁, 伍海建. 囊袋松解术在囊袋收缩综合征中的应用.中华眼视光学与视觉科学杂志, 2015, 17(5): 300-303. DOI: 10.3760/cma.j.issn.1674-845X.2015.05.011.

[1]	. [J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 0-.