眼科学课件：晶体病.pptVIP

intracapsular cataract extraction 白内障囊内摘除 Capsular extacted No need microscope Incision 12mm IOL can not be implanted 白内障囊外摘除extracapsular cataract extraction Capsular reserved Need Microscope Incision 7mm Implant IOL Phacoemulsification 白内障超声乳化 Capsular reserved Need Microscope Continuous circular capsulorhexis Incision 3mm or less Implant IOL Phaco Phaco handpiece 超声手柄 IOL Hard →Foldable Shperic→Aspheric Single-focus→Multi-focus Unadjustable→ Adjustable 人工晶体从诞生到现在已经有了突飞猛进的发展，从大切口的硬晶体到小切口的折叠晶体，从球面晶体到非球面晶体，从单焦点晶体到多焦点晶体，从不可调节晶体到可调节晶体，我们面临着更多的选择，也伴随着更多的困惑，如何选择才能更加符合病人的需求，达到高质量的视觉功能 病例分享1 最终选择蔡司三焦点 喀什光明行 * * Lens Disease晶状体病 Dioptric media 屈光介质 lens Anatomy biconvex双凸、flexible有弹性、avascular无血管 ,nutrition is derived from aqeuous humor. Anatomy Cataract白 内 障 Lens opaque (浑浊） caused by any reasons Classification Senile cataract老年性白内障Age related cataract 年龄相关性白内障 Pathogen：have relationship with oxidative damage (氧化损伤)  Senile cataract classification Stages of cortical cataract 白内障相关分级 Locs II分级 N 0-3 C 0-5 P 0-4 Emery分级 I-V度 nuclear cataract核性白内障 Onset:young Progress slowly Start from fetal nucleus or adult nucleus Myopia subcapsular cataract囊膜下白内障 location : superfical cortex of poterior cupsular Small cavity Crystalline particle Affect eye sight early Treatment Ctaract Surgery Congenital cataract先天性白内障  lens opacification at birth or lens becomes opaque one year after birth. Congenital cataract Congenatal cataract临床特点   多双眼 长期静止 视力情况与晶体混浊程度相关 低视力表现 Poor fixation Nystagmus(眼球震颤） Amblyopia（弱视） Leukocoria（白瞳症） 治疗 目的：恢复视力，减少弱视 方法： 对视力影响小或无影响：观察 对视力影响明显：尽早手术 Traumatic cataract 外伤性白内障 Lens opaque caused by trauma Traumatic cataract classification penetrating cataract 眼球穿通伤所致白内障 contusive cataract 眼部挫伤所致白内障 radiating cataract 辐射性白内障