Nd：YAG激光治疗人工晶体前纤维膜的临床分析

摘要

目的：评价Nd：YAG激光治疗白内障术后人工晶状体前纤维膜的治疗效果。方法回顾性总结Nd：YAG激光治疗白内障术后人工晶状体前纤维膜35例（35眼）。激光参数：单次脉冲能量0.8～3.3 mJ，击发次数12～116次。结果其中29例（29眼）术后视力有不同程度地提高，6眼视力无明显提高。主要并发症包括虹膜出血、人工晶状体轻微损伤、前房炎性反应及眼压升高，但对术后视力无影响。结论 Nd：YAG激光是治疗白内障术后人工晶状体前纤维膜的安全有效的治疗方法。%Objective To assess the treatment efficiency of Nd:YAG laser in treatment of the anterior fibrinous membrane of intraocu-lar lens.Methods 35 eyes of 35 patients with anterior fibrinous membrane after cataract extraction and intraocular lens implantation were subject to Nd:YAG laser explosion.The single pulse energy was 0.8~3.3 mJ and total explosive times were 12~116 shots.Results The visual acuities of 29 eyes of 29 patients were improved , but there were no changes in 6 eyes.The complications included iridemia , slight damage on the surface of intraocular lens , intraocular inflammation in anterior segment and intraocular pressure increasing , but there was no influence on the vision .Conclusion Nd:YAG laser can successfully and safely clear the anterior fibrinous membrane of intraocular lens .