Abstract
Objective To study the clinical efficacy of the application of anterior capsulectomy by scission in extracapsular cataract extraction (ECCE) for patients with lens subluxation. Methods 23 cases (23 eyes) with lens subluxation and cataract were treated by small incision ECCE combined with intraocular lens( IOL) implantation surgery. The scission was applied in anterior capsulectomy during operation. The cases were followed up for 6～24 months, 10.5 months in average. Results There were no expansion of lens detachment or increasement of vitreous prolapse during operation. The best corrected visual acuity (BCVA) of those cases were: 2 eyes ( 8. 70 % ) no less than 1.0,7 eyes ( 30. 43 % ) no less than 0. 5 and 16 eyes less than 0.5. Of those 16 eyes with BCVA worse than 0. 5,2 eyes were retinitis pigmentosa,7 eyes were ocular contusion combined with different degrees of retinal contusion, 2 eyes were traumatic optic nerve atrophy, 2 eyes were vitreous opaque ( obsolete hemorrhagic ) , 1 eye was traumatic macular hole and 2 eyes were high myopia( - 10.00 diopters or higher). Conclusion The application of anterior capsulectomy by scission is safe and satisfactory in small incision ECCE combined with IOL implantation surgery for lens subluxation. Key words: anterior capsulectomy; scission; lens subluxation; cataract surgery,small incision, manual
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