白内障超声乳化术中虹膜松弛综合征的研究进展
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Research progress of intraoperative floppy iris syndrome during phacoemulsification
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    摘要:

    虹膜松弛综合征是白内障超声乳化手术中特有的表现,多发生在术前使用肾上腺素能α-1受体拮抗剂的患者,虽然术前经过充分散瞳,但仍然出现术中渐进性瞳孔缩小、虹膜松弛脱出及前房浪涌。如处理不当,可产生极为严重的并发症,影响手术效果。我们对其流行病学特点、发病机制、危险因素、临床表现、并发症以及应对策略等做一综述。

    Abstract:

    Intraoperative floppy iris syndrome is a particular symptom in phacoemulsification, and it is often occurred in patients with the history of using alpha-1 adrenergic antagonist before cataract surgery. Although the pupil be fully mydriatic before the operation, the progressive constricting of the pupil, the relaxing of iris even the iridoptosis and the unstable anterior chamber still can be found during the phacoemulsification. If treated inappropriately, severe complications and terrible outcomes may happen,which would influenced the surgery effectives. This paper reviewed the epidemiological characteristics, pathogenesis, risk factors, clinical manifestations, complications, and coping strategies of the intraoperative floppy iris syndrome.

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辛美颜,崔巍.白内障超声乳化术中虹膜松弛综合征的研究进展.国际眼科杂志, 2016,16(6):1063-1066.

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  • 收稿日期:2016-01-02
  • 最后修改日期:2016-05-06
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  • 在线发布日期: 2016-05-31
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