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目的探讨0.5%吲哚菁绿溶液前囊膜染色在白内障环形撕囊术中的临床应用效果。方法 60例白内障患者,随机分为两组,每组30例。观察组采用0.5%吲哚菁绿溶液前囊膜染色。采用粘弹剂下染色法,应用撕囊镊完成连续环形撕囊操作。对照组不做染色,应用撕囊镊连续环形撕囊。结果观察组有28眼撕囊成功,成功率93.3%;对照组有20眼撕囊成功,成功率66.7%,两组差异有统计学意义(P<0.05)。观察组术后检查前房未见染料残存,前房炎症反应、角膜透明度与对照组比较,差异无统计学意义。结论 0.5%吲哚菁绿溶液前囊膜染色可安全有效地应用于白内障环形撕囊术中,能使手法小切口白内障手术和超声乳化白内障手术初学者较快掌握连续环行撕囊术,改善初学者的学习曲线,减少手术并发症的发生。
Objective To investigate the clinical application of 0.5% indocyanine green solution in anterior capsulorhexis for cataract surgery. Methods 60 cases of cataract patients were randomly divided into two groups of 30 cases. Observation group using 0.5% indocyanine green solution before the capsule staining. Using viscoelastic staining method, the use of capsulotomy forceps to complete a continuous circular capsulorhexis operation. The control group did not do staining, the application of capsulotomy tweezers continuous annular capsulorhexis. Results In the observation group, 28 eyes had a capsulorhexis success rate of 93.3%. In the control group, 20 eyes had a capsulorhexis success rate of 66.7%. The difference between the two groups was statistically significant (P <0.05). The observation group postoperative examination of the anterior chamber no dye residue, inflammation of the anterior chamber, corneal transparency compared with the control group, the difference was not statistically significant. Conclusion 0.5% indocyanine green solution anterior capsule staining can be safely and effectively used in cataract cyst capsulorhexis surgery, can make the manual small incision cataract surgery and phacoemulsification cataract surgery beginner to quickly grasp the continuous circular capsulorhexis and improve early Scholars learning curve to reduce the incidence of surgical complications.