小切口非超声乳化白内障手术的改良方法

Clinical analysis of improved non-phacoemulsification small incision cataract surgery

doi:
10.3760/cma.j.issn.2095-1477.2013.11.016
摘要:
目的 探讨小切口非超声乳化白内障手术的改良方法与临床效果.方法 回顾性分析年龄相关性白内障100例(100眼),均采用小切口非超声乳化白内障手术的改良方法,其中,96例联合后房型人工晶状体植入术.结果 术后随访1个月,矫正视力≥0.05者99例,视力≥0.3者94例.术中3例出现后囊破裂;术后早期7例发生角膜水肿、5例角膜上皮缺损、4例瞳孔变形;无一例严重并发症.结论 小切口非超声乳化白内障手术,只要掌握好手术技巧与要领,通过联合人工晶状体植入术,可获得满意的术后视力,避免严重的并发症发生,适合在基层医院推广应用.
Abstract:
Objective To analyse the clinical efficacy of improved non-phacoemulsification small incision cataract surgery.Methods The medical records of 100 eyes of 100 cases with age-related cataract were retrospectively analyzed who underwent improved non-phacoemulsification small incision cataract surgery and 96 cases of whom combined with posterior chamber intraocular lens implantation.Results Follow-up for 1 month,the corrected visual acuities were at ≥0.05 in 99 cases and at ≥0.3 in 94 cases at 1 month postoperatively.Posterior capsular rupture was found in 3 cases during the surgery.The corneal edema in 7 cases,c orneal epithelial defect in 5 cases and pupil deformation in 4 cases early postoperative.No severe complications were observed.Conclusion Non-phacoemulsification small incision surgery combined with intraocular lens implantation has good clinical efficacy which can be widely used in county hospital as long as the surgical techniques are mastered.
作者 卞新浩
Author: BIAN Xin-hao
作者单位 石门县人民医院眼科, 湖南,415300
刊 名: 中华眼外伤职业眼病杂志   ISTIC
Journal: Chinese Journal of ocular trauma and occupational eye disease
年,卷(期) 2013, 35(11)
分类号
关键词: 白内障 知识脉络    手术 知识脉络    小切口 知识脉络    非超声乳化 知识脉络   
Keywords: Cataract    Surgery    Incision,small    Nonphacoemulsification   
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