术中OCT在白内障超声乳化摘除术中的应用
更新日期:2020-08-19     来源:中国实用眼科杂志   浏览次数:243
核心提示:《术中OCT在白内障超声乳化摘除术中的应用》为作者:刘保松最新的研究成果,本论文的主要观点为摘要 目的:评估术中光学相干断层扫描(iOCT)在白内障

《术中OCT在白内障超声乳化摘除术中的应用》为作者:刘保松最新的研究成果,本论文的主要观点为摘要 目的:评估术中光学相干断层扫描(iOCT)在白内障超声乳化摘除手术中的价值及其安全性。 方法:回顾性系列病例研究。收集2019年8月6日至2019年8月13日在尖峰集团驻马店眼科医院采取白内障超声乳化摘除联合后房型人工晶体植入术治疗的白内障患者共19例(19眼),其中男性患者6例,女性患者13例,平均年龄(57。37±21。27)岁。所有患者术中超声乳化摘除白内障后及植入后房型人工晶体后行iOCT检查,了解切口及后囊膜情况。记录iOCT检查结果,比较iOCT结果及术者显微镜下观察判断情况的一致性,记录 iOCT结果对手术策略的影响。 结果:纳入的18例病例中,先天性白内障2人,年龄相关性白内障15人,并发性白内障1人。iOCT结果提示:巩膜隧道切口2人,切口良好密闭呈3平面,切口处角膜后弹力层剥脱1人,后囊膜混浊1人,berger空间1人,人工晶体植入术后囊袋皱褶3人。iOCT结果与手术者观察结果不一致1人。未见与检查相关的手术并发症发生。 结论:术中OCT可安全有效的用于白内障超声乳化术中,对切口及后囊膜的评估有重要的应用价值。 关键词:术中光学相干断层扫描;白内障超声乳化摘除术;手术指导 Intraoperative Optical Coherence Tomography during Phacoemulsification Cataract Surgery Lei Shi1, Qiuhui Liu2, Yaru Wang2, Bo Wang2, Baosong Liu2 1。 The Fifth Affiliated Hospital Of Zhengzhou University, Zhengzhou 450052 2。Zhumadian Eye Hospital, Zhumadian 463000 Corresponding author: Baosong Liu, Zhumadian Eye Hospital, Zhumadian 463000, China (Email: liubaosongzmd@163。com) ABSTRACT Objective: To observe the application of intraoperative optical coherence tomography (iOCT) in phacoemulsification cataracts surgery。 Methods: In this retrospective case study, 19 subjects ( 6 males, 13 females, mean+standard deviation age(57。37±21。27)yeas) were enrolled from August 6th 2019 to August 13th 2019 at Zhumadian Eye Hospital。 One eye of each patient received iOCT to evaluate the incision and posterior capsule of the lens during the phacoemulsification surgery。 The result of the examination was recorded。 Results: Among 19 subjects, 16 patients were diagnosed as age-related cataract, 2 patients were congenital cataract, one case was complicated cataract。 Scleral tunnel incision was performed in two eyes, iOCT showed the incisions had tri-plane and were watertight。 iOCT revealed corneal descemet membrane detachment (1 eye), posterior capsule opacification (1 eye), berger space after I/A (1 eye)and posterior capsular wrinkle after intraocular lens implantation (3 eyes)。 The iOCT results was not consistent with the findings of the surgeon under the microscope in one eye。 None of the patients experienced complications associated with iOCT。 Conclusions: iOCT may help the operator manage the cataract phacoemulsification surgery。 Key words: intraoperative optical coherence tomography; phacoemulsification surgery; operation guidance。不知是否符合录用要求,望您批评与指正。