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小瞳孔

小瞳孔的相关文献在1989年到2022年内共计193篇,主要集中在眼科学、临床医学、外科学 等领域,其中期刊论文191篇、会议论文2篇、专利文献48836篇;相关期刊101种,包括临床眼科杂志、实用防盲技术、眼科新进展等; 相关会议1种,包括2004哈尔滨白内障国际论坛等;小瞳孔的相关文献由442位作者贡献,包括张磊、严灿荣、宋洪妮等。

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期刊论文>

论文:191 占比:0.39%

会议论文>

论文:2 占比:0.00%

专利文献>

论文:48836 占比:99.61%

总计:49029篇

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小瞳孔

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  • 张磊
  • 严灿荣
  • 宋洪妮
  • 廖海兰
  • 梁轩伟
  • 郑彪
  • 万修华
  • 刘华
  • 孙叙清
  • 杜刚

小瞳孔

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    • 唐雅婷
    • 摘要: 复旦大学附属眼耳鼻喉科医院卢奕教授主译的《超声乳化白内障摘除和人工晶状体植入术:操作技巧及并发症》一书由上海科学技术出版社正式出版。该书由美国白内障领域权威专家William J.Fishkind教授主编,在第1版的基础上增加了很多最新手术技巧和策略。由复旦大学附属眼耳鼻喉科医院卢奕教授团队的主治医师及博士进行翻译,每章节均有一至两位副主任医师以上职称的专家进行校对。本书共19个部分55章,涉及内容主要包括麻醉、超声乳化白内障吸除术各步骤的技巧,小瞳孔处理、玻璃体切除手术、无囊袋支撑下的人工晶状体植入术、高端人工晶状体、白内障摘除术中术后并发症处理等。不仅涵盖了白内障摘除手术的最新进展,也对手术并发症的处理进行了系统分析。本著作内容丰富,图文并茂,技术前沿。本书作为眼科和白内障领域专家集中编写的实用性教材,对眼科医师尤其白内障领域医师工作具有重要的指导意义。本书92万余字,大16开,精装,定价:350元,全国各大新华书店、医药书店、当当网、京东、世纪天猫等有售,可通过上海科学技术出版社客户服务部邮购,联系电话:021-64085630。
    • 唐雅婷
    • 摘要: 复旦大学附属眼耳鼻喉科医院卢奕教授主译的《超声乳化白内障摘除和人工晶状体植入术:操作技巧及并发症》一书由上海科学技术出版社正式出版。该书由美国白内障领域权威专家William J.Fishkind教授主编,在第1版的基础上增加了很多最新手术技巧和策略。由复旦大学附属眼耳鼻喉科医院卢奕教授团队的主治医师及博士进行翻译,每章节均有一至两位副主任医师以上职称的专家进行校对。本书共19个部分55章,涉及内容主要包括麻醉、超声乳化白内障吸除术各步骤的技巧,小瞳孔处理、玻璃体切除手术、无囊袋支撑下的人工晶状体植入术、高端人工晶状体、白内障摘除术中术后并发症处理等。不仅涵盖了白内障摘除手术的最新进展,也对手术并发症的处理进行了系统分析。本著作内容丰富,图文并茂,技术前沿。本书作为眼科和白内障领域专家集中编写的实用性教材,对眼科医师尤其白内障领域医师工作具有重要的指导意义。本书92万余字,大16开,精装,定价:350元,全国各大新华书店、医药书店、当当网、京东、世纪天猫等有售,可通过上海科学技术出版社客户服务部邮购,联系电话:021-64085630。
    • 李兴育; 王从毅; 马波; 喻磊
    • 摘要: 目的 比较连续环形部分虹膜剪除与虹膜拉钩在小瞳孔白内障超声乳化术中的应用效果.方法 将2016年1月至2018年4月于我院行手术治疗的56例(74只眼)小瞳孔并发性白内障患者根据随机数字表法分为剪除组(27例,连续环形部分虹膜剪除术)与拉钩组(29例,虹膜拉钩).记录两组手术后第1天最佳矫正视力、眼压.比较两组的手术时间、并发症发生情况及术后1周瞳孔正圆率.结果 术后第1天,两组的最佳矫正视力、眼压比较,差异无统计学意义(P>0.05).剪除组的平均手术时间短于拉钩组(P<0.05).两组患者均未发生后囊膜破裂、核块坠入玻璃体腔等并发症.术后1周,剪除组的瞳孔正圆率高于拉钩组(P<0.05).结论 与虹膜拉钩相比,连续环形部分虹膜剪除具有手术时间较短、术后瞳孔正圆率较高的优势.
    • 王进达; 张景尚; 熊瑛; 李婧; 李晓霞; 赵晶; 朱谷雨; 万修华
    • 摘要: Objective To assess the outcomes of OASIS iris expander in phacoemulsification surgery of cataract with small pupil.Methods A prospective case-control study was conducted in 22 microcoria cataract patients (22 eyes).And they were randomly divided into group A and B,in which the pupils of group A were dilated by tearing instruments in 13 eyes,and the pupils of group B were dilated using OASIS iris expander in 9 eyes.All patient underwent phacoemulsification with 3.2 mm clear corneal incision and were followed up at postoperative 1 week,1 month,3 months and 6 months.Finally,the best corrected visual acuity (BCVA),intraocular pressure (IOP),corneal endothelial cell counts,pupil size before and after surgery were recorded and analyzed by an independent sample t test.Results All procedures were completed successfully by the same skilled doctor.Intraocular lenses were implanted in capsule completely,and no complications occurred.At 6 months after operation,patients'BCVA in group A (0.41 ± 0.30) and group B (0.77 ± 0.23) was significantly higher than that in group A (0.17 ±0.14) and group B (0.16 ±0.14) before operation,but there was no statistical difference between the two groups (all P >0.05);whereas there was no significant change in the IOP of group A and B at 6 months after operation (1 kPa =7.5 mmHg) and before operation [(14.22 ±6.00) mmHg vs.(15.70 ± 5.70) mmHg)] (all P > 0.05).Moreover,corneal endothelial cell counts in group A [(1486 ±718) cells · mm-2] and B [(1246 ±516)cells · mm-2] were significantly smaller than those before operation [(2498 ±564)cells · mm-2 vs.[(2424 ± 640) cells · mm-2],with no significant difference (P=0.091).The postoperative diameter of the pupil in group A [(4.00 ±0.88) mm] and group B [(4.70 ± 1.57) mm] after operation was larger than that in group A [(2.30 ±0.35)mm] and group B [(1.94 ±0.50)mm] before operation,and there was no statistical difference between the two groups (all P >0.05).Conclusions OASIS iris expander can help to dilate and hold pupils and does not affect the postoperative visual acuity and intraocular pressure in mlcrocoria cataract phacoemulsification.The postoperative pupils become larger,and it is necessary to pay attention to protect corneal endothelial cell during usage of OASIS iris expander.%目的 评价小瞳孔白内障超声乳化手术中应用OASIS瞳孔扩张器的效果.方法 本文为前瞻性病例对照研究,收集临床工作中的小瞳孔白内障患者22例22眼,随机分为2组,其中术中采用器械瞳孔撕开操作13眼(A组),采用OASIS瞳孔扩张器扩张瞳孔9眼(B组).所有病例均施行3.2 mm透明角膜切口超声乳化吸除,术后1周、1个月、3个月、6个月随访复查,比较手术前后最佳矫正视力(best corrected visual acuity,BCVA)、眼压、角膜内皮细胞计数、瞳孔大小变化.采用独立样本t检验的方法进行统计分析.结果 所有手术均由同一医师顺利完成,人工晶状体100%囊袋内植入,未见手术并发症发生.术后6个月BCVA(A组0.41±0.30、B组0.77±0.23)与术前(A组0.17±0.14、B组0.16±0.14)比较,2组均显著提高;但2组间差异无统计学意义(均为P >0.05).术后6个月眼压:A组(14.62±4.70) mmHg(1 kPa =7.5 mmHg)、B组(12.67±6.35) mmHg,与术前A组(14.22±6.00) mmHg、B组(15.70±5.70) mmHg相比无明显变化;2组间差异均无统计学意义(均为P>0.05).术后6个月角膜内皮细胞计数:A组(1486±718)个·mm-2、B组(1246±516)个·mm-2,与术前A组(2498±564)个·mm-2、B组(2424±640)个·mm-2均明显减少;B组角膜内皮细胞计数损失更多,差异无统计学意义(P=0.091).2组瞳孔直径均较术前扩大:术前A组(2.30±0.35) mm、B组(1.94±0.50) mm,术后A组(4.00±0.88)mm、B组(4.70±1.57)mm,2组间差异均无统计学意义(均为P>0.05).结论 小瞳孔白内障超声乳化手术时使用OASIS瞳孔扩张器辅助可在术中有效扩大并维持瞳孔扩张状态,不影响术后视力恢复和眼压情况;术后瞳孔较术前扩大,使用OASIS瞳孔扩张器时需要注意保护角膜内皮.
    • 王进达; 万修华
    • 摘要: 瞳孔扩张器可辅助小瞳孔白内障手术.目前应用于临床的有Morcher瞳孔扩张器、Graether瞳孔扩张器、Perfect瞳孔扩张器、Siepser瞳孔扩张器、Malyugin环瞳孔扩张器和OASIS瞳孔扩张器.随着其设计和使用技巧的不断改进,瞳孔扩张器被认为是目前小瞳孔白内障手术时损伤较轻、辅助作用良好的方法之一.%The pupil expansion device can assist small pupil cataract surgery.Currently several pupil expansion device are used in clinic,such as Morcher pupil dilator,Graether pupil ring,Perfect pupil device,Siepser pupil ring,Malyugin ring and OASIS iris expander,etc.Along with the continuous improvement of its design and use of skills,the pupil expansion device is considered a good method because of the light injury and good auxiliary function during small pupil cataract surgery.
    • 孙峰; 杨建; 杨学龙; 吴兵; 秦海燕
    • 摘要: 目的 探讨小瞳孔下经角巩膜缘隧道切口行超声乳化白内障摘除+人工晶状体植入术的临床疗效.方法 经上方角巩膜缘隧道切口,进行虹膜后粘连分离、瞳孔缘剪开瞳孔行超声乳化手术,对43例(43眼)慢性虹膜炎并发性白内障施行超声乳化白内障摘出+人工晶状体植入术.结果 术后裸眼视力≥0.5者20眼(46.5%),术后裸眼视力≥0.3者36眼(83.7%).12眼应用瞳孔扩张法,术后全部病例瞳孔恢复接近原状;23眼行虹膜拉钩拉开瞳孔,瞳孔缘切开扩大瞳孔8眼行瞳孔缘切开扩大瞳孔,术后38眼基本恢复圆瞳孔,5眼瞳孔欠规整和直径偏大.结论 白内障合并虹膜后粘连的小瞳孔,通过行虹膜后粘连分离瞳孔成形术,仍可经角膜巩缘隧道切口行并超声乳化白内障摘除+人工晶状体植入术并能基本恢复生理性的圆瞳孔.
    • 王进达1; 张景尚1; 熊瑛2; 李婧2; 李晓霞1; 赵晶1; 朱谷雨1; 万修华1
    • 摘要: 目的:评价小瞳孔白内障超声乳化手术中应用MalyuginRing瞳孔扩张器的效果。方法:前瞻性病例对照研究。收集临床工作中的小瞳孔白内障患者27例(32眼),分为2组,其中术中采用2把器械瞳孔撕开操作21眼(Ⅰ组),采用MalyuginRing瞳孔扩张器扩张瞳孔11眼(Ⅱ组)。所有病例均行3.2mm透明角膜切口超声乳化白内障吸除IOL植入术,术后1周,1、3、6个月随访,比较手术前后最佳矫正视力(BCVA)、眼压(10P)、平均角膜曲率、角膜内皮细胞计数、瞳孔大小变化。采用独立样本t检验进行统计分析。结果:所有手术均由同一医师顺利完成,人工晶状体(IOL)100%囊袋内植入,无手术并发症发生。手术前与术后6个月比较:BCVA(LogMAR):Ⅰ组1.15±0.75w.0.30±0.21,Ⅱ组1.42±1.16W0.30±0.31;IOP:Ⅰ组(14.7±4.6)mmHgw.(14.1±6.4)mmHg,Ⅱ组(16.1±5.1)mmHg vs.(12.4±2.2)mmHg;平均角膜曲率:Ⅰ组(44.55±1.83)D vs.(44.94±2.70)D,Ⅱ组(44.72±1.55)D vs.(45.37±1.25)D;角膜内皮细胞计数:Ⅰ组(2490±498)/mm2 vs.(1486±612)/mm2,Ⅱ组(2620±989)/mm2vs(2089±729)/mm2;瞳孔直径:Ⅰ组(2.0±0.6)mm vs.(3.3±1.2)/mm,Ⅱ组(2.2±0.8)mnlⅧ.(3.5±1.2)mm。2组间手术前后参数比较,术后角膜内皮细胞计数差异具有统计学意义(t=-2.352,P=0.038),其他参数比较差异均无统计学意义。结论:小瞳孔白内障超声乳化手术时使用MalyuginRing瞳孔扩张器辅助不影响术后视力恢复和IOP及角膜曲率情况。术后瞳孔较术前扩大,MalyuginRing有助于减少术中角膜内皮细胞丢失。
    • 王进达; 张景尚; 熊瑛; 李婧; 李晓霞; 赵晶; 朱谷雨; 万修华
    • 摘要: 目的:评价小瞳孔白内障超声乳化手术中应用Malyugin Ring瞳孔扩张器的效果.方法:前瞻性病例对照研究.收集临床工作中的小瞳孔白内障患者27例(32眼),分为2组,其中术中采用2把器械瞳孔撕开操作21眼(I组),采用Malyugin Ring瞳孔扩张器扩张瞳孔11眼(I组).所有病例均行3.2 mm透明角膜切口超声乳化白内障吸除IOL植入术,术后1周,1、3、6个月随访,比较手术前后最佳矫正视力(BCVA)、眼压(IOP)、平均角膜曲率、角膜内皮细胞计数、瞳孔大小变化.采用独立样本t检验进行统计分析.结果:所有手术均由同一医师顺利完成,人工晶状体(IOL)100%囊袋内植入,无手术并发症发生.手术前与术后6个月比较:BCVA(LogMAR):I组1.15±0.75 vs.0.30±0.21,I组1.42±1.16 vs 0.30±0.31;IOP:I组(14.7±4.6)mmHg vs.(14.1±6.4)mmHg,I组(16.1±5.1)mmHg vs.(12.4±2.2)mmHg;平均角膜曲率:I组(44.55±1.83)D vs.(44.94±2.70)D,I组(44.72±1.55)D vs.(45.37±1.25)D;角膜内皮细胞计数:I组(2490±498)/mm2 vs.(1486±612)/mm2,I组(2620±989)/mm2 vs.(2089±729)/mm2;瞳孔直径:I组(2.0±0.6)mm vs.(3.3±1.2)mm,I组(2.2±0.8)mm vs.(3.5±1.2)mm.2组间手术前后参数比较,术后角膜内皮细胞计数差异具有统计学意义(t=-2.352,P=0.038),其他参数比较差异均无统计学意义.结论:小瞳孔白内障超声乳化手术时使用Malyugin Ring瞳孔扩张器辅助不影响术后视力恢复和IOP及角膜曲率情况.术后瞳孔较术前扩大,Malyugin Ring有助于减少术中角膜内皮细胞丢失.%Objective: To assess the effect of Malyugin rings in phacoemulsification surgery of cataract in eyes with small pupils. Methods: This was a prospective case-control study. Twenty-seven microcoria cataract cases (32 eyes) were enrolled and divided into two groups. In Group Ⅰ (21 eyes), the pupils were dilated by with two instruments. In Group Ⅱ (11 eyes), the pupils were dilated by Malyugin ring insertion. Clear corneal incisions of 3.2 mm were used in the phacoemulsifications. All cases were followed up postoperatively at 1 week and at 1, 3, and 6 months. Pre- and postoperative values were compared for best corrected visual acuity (BCVA), intraocular pressure, corneal endothelial cell counts, and pupil size. Independent-samples t-tests were used in the analyses. Results: All surgery was completed successfully by the same doctor. All intraocular lenses were implanted within the capsule, and no complications occurred. Measurements for the following pre- and 6-month postoperative parameters were compared: BCVA (LogMAR): Group Ⅰ, 1.15±0.75 vs. 0.30±0.21 and Group Ⅱ, 1.42±1.16 vs. 0.30±0.31; IOP (mmHg): Group Ⅰ, 14.7±4.6 vs. 14.1±6.4 and Group Ⅱ, 16.1±5.1 vs. 12.4±2.2; Average corneal curvature (diopter, D): Group Ⅰ, 44.55±1.83 vs. 44.94±2.70 and Group Ⅱ, 44.72±1.55 vs. 45.37±1.25; Corneal endothelial cell density (cells/mm2):Group Ⅰ, 2490±498 vs. 1486±612 and Group Ⅱ, 2620±989 vs. 2089±729; Pupil diameter (mm): Group Ⅰ, 2.0±0.6 vs. 3.3±1.2 and Group Ⅱ, 2.2±0.8 vs. 3.5±1.2. The parameters of the corneal endothelial cells were statistically different (t=-2.352, P=0.038) after surgery between the two groups, and no statistical difference was found in the other parameters. Conclusions: Use of the Malyugin ring in microcoria cataract phacoemulsification does not affect the 6-month postoperative visual acuity, intraocular pressure, or average corneal curvature. The pupils were enlarged before surgery. Malyugin ring can help reduce the loss of corneal endothelial cells in surgery.
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