国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (5): 356-362.doi: 10.3760/cma.i.cn115500-20250725-25506

• 综述 • 上一篇    下一篇

囊袋张力环植入技巧及相关并发症

赵宇洋 卿国平   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室,北京 100730
  • 收稿日期:2025-02-26 出版日期:2025-10-22 发布日期:2025-10-16
  • 通讯作者: 卿国平,Email:gptsing@mail.ccmu.edu.cn

Capsular tension ring implantation: techniques and complications

Zhao Yuyang, Qing Guoping   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China
  • Received:2025-02-26 Online:2025-10-22 Published:2025-10-16
  • Contact: Qing Guoping, Email: gptsing@mail.ccmu.edu.cn

摘要: 囊袋张力环(capsular tension ring, CTR)在伴有悬韧带异常的复杂白内障和/或闭角型青光眼手术中应用广泛,具有稳定人工晶状体(intraocular lens,IOL)和囊袋位置、改善术后视功能、避免悬韧带进一步损伤等作用。同时,CTR植入过程和操作也存在潜在风险,术中常见的并发症包括残余悬韧带损伤、囊袋移位甚至游离、囊袋撕裂、玻璃体溢出、晶状体核块或皮质残留、角膜内皮损伤、IOL移位甚至坠入玻璃体腔等;术后并发症常见有后囊膜混浊、前囊收缩综合征和、囊袋-CTR-IOL复合体脱位、眼压升高和继发性青光眼、视网膜脱离和黄斑囊样水肿等。非预装CTR片镊子夹持缓慢推入晶状体囊袋,预装式CTR采用“鱼尾法”插入更加安全。

关键词: 囊袋张力环植入术, 悬韧带异常, 青光眼, 白内障

Abstract: Capsular tension ring (CTR) is widely used in complex cataract surgeries or angle-closure glaucoma surgeries with zonular weakness. It serves to stabilize the intraocular lens (IOL) and the capsular bag, improve postoperative visual outcomes, and prevent further damage to the weak zonule. However, CTR implantation also carries potential risks. Common intraoperative complications include injury to residual zonules, displacement or even luxation of the capsular bag, capsular tear, vitreous prolapse, residual pieces of lens nudear or cortex, corneal endothelial damage, and IOL displacement or drop into the vitreous cavity. Postoperative complications may consist of posterior capsular opacification, anterior capsular contraction syndrome, dislocation of the capsular bag-CTR-IOL complex, elevated intraocular pressure, secondary glaucoma, retinal detachment, and cystoid macular edema. For unpreloaded CTR, the safe and practical method is to import it gentlely with forceps along the inside of the capsular equator. For preloaded CTR, Fish Tail method has been proved to be safe and efficient. 

Key words: Capsular tension ring implantation, Zonular weakness, Glaucoma, Cataract