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目的探讨0.05%吲哚菁绿稀释液染色前囊膜辅助撕囊技术在白内障手术中应用的有效性、安全性和操作技巧。方法采用回顾性、描述性分析的方法,总结我院11例(11只眼)采用0.05%吲哚菁绿稀释液染色技术的患者术前、术中及术后的情况。结果所有患者均染色成功,前囊膜被染色呈浅绿色,撕囊过程中能清晰地分辨前囊膜与混浊的晶状体皮质,准确地判断撕囊的边界,防止囊袋撕裂等并发症的出现。术后随访1个月期间未发现与染色有关的角膜内皮受损、角膜水肿失代偿、虹膜炎及眼压升高等并发症。结论在白内障超声乳化手术中采用0.05%吲哚菁绿稀释液染色辅助撕囊的技术能安全、有效地改善前囊膜的能见度,提高撕囊和手术的成功率。
Objective To investigate the effectiveness, safety and operation skills of cyst-assisted capsulorhexis before cataract surgery with 0.05% indocyanine green dye. Methods The retrospective and descriptive analysis methods were used to summarize the preoperative, intraoperative and postoperative outcomes of 11 patients (11 eyes) in our hospital with 0.05% indocyanine green dye. Results All the patients were stained successfully. The anterior capsule was stained light green. The anterior capsule and the cloudy lens cortex were clearly distinguished during the capsulotomy. The boundaries of the capsulorhexis were accurately identified and the complications appear. No complications such as corneal endothelium damage, decompensation of corneal edema, iritis and intraocular pressure were found during one month follow-up. Conclusion The technique of using 0.05% indocyanine green dye to stain capsulotomy in cataract phacoemulsification can safely and effectively improve the visibility of anterior capsule and improve the success rate of capsulorhexis and operation.