■綜説
エビデンスに基づいた安全な白内障手術
鈴木 久晴
日本医科大学武蔵小杉病院眼科
Safe Evidence-based Cataract Surgery
Hisaharu Suzuki
Department of Ophthalmology, Nippon Medical School Musashi Kosugi Hospital
Phacoemulsification and aspiration (PEA) has become the most popular surgery for cataracts. However, corneal endothelial damage still represents a serious complication, as excessive damage can lead to irreversible bullous keratopathy. The corneal endothelium can be damaged during phacoemulsification by such factors as excessive duration of phacoemulsification, localized temperature increases, and damage from lens nucleus fragments caused by the turbulent flow of the irrigating solution, air bubbles, or free radicals associated with ultrasound oscillation. We evaluated the various causes of damage to the corneal endothelium during PEA, aiming to establish safer methods of cataract surgery.
日医大医会誌 2017; 13(4), 172-179
Key words
cataract surgery, corneal endothelium, phacoemulsification and aspiration, corneal volume, ozonated solution
Correspondence to
Hisaharu Suzuki, MD, PhD, Department of Ophthalmology, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki Kanagawa 211-8533, Japan
E-mail：s5054@nms.ac.jp
受付：2017年4月20日 受理：2017年5月29日 |
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