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  discission
     PCCC Combined Vitreous Anterior Membrane Discission in Prevention of After-Cataract
     连续环形撕后囊联合玻璃体前界膜刺开防止后发障
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     Objective To discuss the operative key points and effects in prevention of after cataract with posterior continuous circular capsulourhexis(PCCC) combined vitrous anterior membrane discission.
     目的 探讨连续环形撕后囊 (posteriorcontinuouscircularcapsulourhexis,PCCC)联合玻璃体前界膜刺开防止后发障的疗效和手术要点。
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     Results In 9 cases,no vitreous overflow for 5 with the continuous curvilinear capsulorhexis,vitreous overflow in 1 of 2 cases with the capsulorhexis with cut,vitreous overflow in 2 cases with capsulotomy. Intraocular lenses were implanted in capsular bag in all of the cases.
     结果 oerHi环形撕囊仪 5眼无 1眼出现玻璃体溢入晶状体囊袋内、而刺开撕囊 2眼有 1眼玻璃体溢入晶状体囊袋内、环形切囊 2眼均出现玻璃体溢入晶状体囊袋内 ,给予前段玻璃体切除 ,本组 9眼人工晶状体均植入晶状体囊袋内。
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     Methods PCCC was performed in phacoemulsification on 41 cataracts,and the diameters of post capsular tearing hole were 3~4 mm,through the hole the vitreous anterior membrane was cross excised,then PC? IOL was implanted in capsule bag.
     方法 对 4 1例白内障患者行PHACO手术 ,术中连续环形撕后囊 ,撕囊直径控制在 3~4mm ,并在撕囊孔内“ +”形刺开玻璃体前界膜 ,然后囊袋内植入人工晶体。
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     First,the continuous curvilinear capsulorhexis with oerHi,second,the capsulorhexis with cut, third,capsulotomy (special hard spot).
     首选“oerHi”环形撕囊仪环形撕囊 ,次之选用刺开撕囊 ,特殊的硬性斑用不同的环形切囊法。
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     PCCC Combined Vitreous Anterior Membrane Discission in Prevention of After-Cataract
     连续环形撕后囊联合玻璃体前界膜防止后发障
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  discission
In view of the inadequacy of conservative treatment and the shortcomings of excision, the subcutaneous (s.c.) discission of the ganglion with a tenotome is recommended.
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Our surgical technique, ESDP, enables secure localization and selective discission of incompetent perforating veins.
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Endoscopic subfascial discission of perforating veins
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No presently available technique has yielded satisfactory results, hence our efforts to develop a new method: the endoscopic subfascial discission of perforating veins (ESDP).
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YAG laser discission of retrocorneal membrane following keratoplasty and extracapsular cataract extraction.
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         Objective To discuss the operative key points and effects in prevention of after cataract with posterior continuous circular capsulourhexis(PCCC) combined vitrous anterior membrane discission.Methods PCCC was performed in phacoemulsification on 41 cataracts,and the diameters of post capsular tearing hole were 3~4 mm,through the hole the vitreous anterior membrane was cross excised,then PC?IOL was implanted in capsule bag.Results Following up 10~12 months after operation, no one had after cataract or...
            目的 探讨连续环形撕后囊 (posteriorcontinuouscircularcapsulourhexis,PCCC)联合玻璃体前界膜刺开防止后发障的疗效和手术要点。方法 对 4 1例白内障患者行PHACO手术 ,术中连续环形撕后囊 ,撕囊直径控制在 3~4mm ,并在撕囊孔内“ +”形刺开玻璃体前界膜 ,然后囊袋内植入人工晶体。结果  4 1例白内障患者随访 10~ 12个月以 ,除 1例黄斑囊样水肿、2例撕囊孔偏离视中心外 ,未发现有后发障、视网膜脱离。结论 PCCC联合玻璃体前界膜刺开能有效防止后发障产生 ,并能避免因玻璃体切割而产生的并发症 ,适合于PHACO术中发现有后囊混浊的患者
文摘来源
         Objective To investigate the diagnosis and management of hard spot of posterior capsule in cataract patients. Methods According to different degree of hard spot of posterior capsule (evidence of slightlamp microscope's examination and operation),various management were selected.First,the continuous curvilinear capsulorhexis with oerHi,second,the capsulorhexis with cut, third,capsulotomy (special hard spot). Results In 9 cases,no vitreous overflow for 5 with the continuous curvilinear capsulorhexis,vitre...
            目的 探讨白内障患者后囊“硬性斑”的诊断及处理方法。方法 根据术前裂隙灯检查和手术中证实硬性斑的不同情况 ,选择后囊处理方式 ;首选“oerHi”环形撕囊仪环形撕囊 ,次之选用刺开撕囊 ,特殊的硬性斑用不同的环形切囊法。结果 oerHi环形撕囊仪 5眼无 1眼出现玻璃体溢入晶状体囊袋内、而刺开撕囊 2眼有 1眼玻璃体溢入晶状体囊袋内、环形切囊 2眼均出现玻璃体溢入晶状体囊袋内 ,给予前段玻璃体切除 ,本组 9眼人工晶状体均植入晶状体囊袋内。结论 用oerHi环形撕囊仪环形撕后囊“硬性斑” ,安全、简便。刺开撕囊时 ,勿伤及玻璃体前膜 ,深度掌握有难度 ,环形撕囊时需做前段玻璃体切除准备。
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