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在手术显微镜下,用 Mclntyre 同轴双腔灌注抽吸管进行一次性手术治疗37眼透明皮质较多的先天性白内障,均获得5mm 直径以上的透明瞳孔区(6mm 直径的有34眼、占91.89%,7mm 直径的有29眼,占78.38%)。对于3岁以下患者的17眼中有10眼抽吸皮质后即行后囊膜切开,大于3岁的患者,则保留完整的晶体后囊膜,32眼术后视力有不同程度的提高,不变的有5眼。本文探讨了手术的方法和手术时机。对透明皮质较多的先天性白内障施行一次性灌注抽吸术,不仅能获得较大范围的瞳孔透明区,而且避免了以往对透明皮质较多的先天性白内障先行截囊术所引起的不良反应,减少了全身麻醉意外的机会和不必要的手术费用。
Under the operating microscope, one-time surgical treatment of 37 eyes of cataract with more clear cortex with Mclntyre coaxial dual-lumen aspiration tube resulted in clear pupil area of 5mm above diameter (34 eyes with 6mm diameter, accounting for 91.89 %, 29 eyes with 7 mm diameter, accounting for 78.38%). Posterior capsulotomy was performed in 10 of 17 eyes under 3 years of age in patients with cortical aspiration, and intact posterior capsular membranes remained intact in patients older than 3 years of age, with visual acuity improved to varying degrees in 32 eyes There are 5 eyes. This article explores the methods and timing of surgery. The more transparent cortical congenital cataract implementation of a one-time perfusion suction, not only to obtain a larger area of transparent pupil, but also to avoid the previous cataract more cortical congenital cyst preadiptal caused by adverse reactions , Reducing the chance of general anesthesia accidents and unnecessary surgical costs.