国际眼科纵览

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预劈核辅助的白内障手术

宋晨捷 赵阳 朱思泉   

  1. 100730 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
  • 收稿日期:2018-04-18 出版日期:2018-08-22 发布日期:2018-08-28
  • 通讯作者: 朱思泉,Email:e_doctor12@163.com E-mail:e_doctor12@163.com
  • 基金资助:

    国家自然科学基金(51573101)

Prechop-assisted cataract surgery

SONG Chen-jie, ZHAO Yang, ZHU Si-quan   

  1. Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2018-04-18 Online:2018-08-22 Published:2018-08-28
  • Contact: ZHU Si-quan, Email: e_doctor12@163.com E-mail:e_doctor12@163.com
  • Supported by:

    National Natural Science Foundation of China(51573101)

摘要:

超声乳化白内障吸除术的手术技巧愈加丰富,主要体现在核的处理技巧上,如乳化劈核、拦截劈核等,但这些方法操作要求高,初学者难掌握,在操作过程中可能会造成眼内其他组织的损伤。为此,预劈核概念被提出。预劈核技术包括手工预劈核和飞秒激光预劈核。此技术可明显降低超声乳化时间和能量,降低手术对眼内组织的损伤,缩短操作者学习曲线、提高手术普及率。但现阶段对于复杂白内障手术此项技术仍有一些亟待解决的问题。

Abstract:

The surgical techniques for phacoemulsification are becoming more and more abundant, mainly reflected in lens fragmentation such as phaco chop technique, stop-and-chop technique, etc. Pre-chop technique includes manual pre-chop and femtosecond laser-assisted pre-chop. This technology can significantly reduce the phacoemulsification time and energy, reduce the damage to the intraocular tissue of the surgery, shorten the operator's learning curve, and increase the surgical popularity. But there are still some problems that need to be solved in the complex cataract surgery now.