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白内障囊外摘出术及后房型人工晶体植入已成为目前白内障手术最常用的方法。手术后,很多病人发生了后囊膜混浊而需Nd∶YAG激光后囊膜切开以恢复视力。然而,YAG激光并非绝对安全,有时也引起眼的前、后节损害。假定白内障囊外摘出术可减少术后视网膜脱离的发生,那么YAG激光后囊膜切开术是否增加了视网膜脱离的发生?现对此仍有争论。本文作者对18例行YAG激光后囊膜切开术的人工晶体眼发生的视网膜脱离进行了分析。
Extracapsular cataract extraction and posterior chamber intraocular lens implantation has become the most commonly used method of cataract surgery. After surgery, many patients have posterior capsular opacification and Nd: YAG laser posterior capsular incision to restore vision. However, YAG lasers are not absolutely safe and sometimes cause damage to the anterior and posterior segments of the eye. Given that extracapsular cataract extraction can reduce the incidence of postoperative retinal detachment, is there still controversy over whether YAG laser posterior capsulotomy increases retinal detachment? The authors analyzed retinal detachment in 18 patients undergoing IAG laser capsulotomy with intraocular lens.