基层医院白内障小切口囊外摘出人工晶状体植入术疗效观察

目的:分析在农村地区基层医院小切口非超声乳化白内障囊外摘除联合后房型人工晶状体植入的临床效果与体会。 方法:对2001-01/2011-12的2 713例3029眼小切口非超声乳化白内障囊外摘除联合后房型人工晶状体植入的临床资料进行回顾性探讨,分析手术的适宜性及治疗效果。 结果:患者2713例3029眼手术后第1d裸眼视力≥0.05者2963眼,脱盲率97.82%；≥0.3者2671眼,脱残率8818%。术后早期随访(1wk内),裸眼视力 ≥0.05者3011眼,脱盲率（矫正视力≥0.05）99.41%；≥0.3者2787眼,脱残率（矫正视力≥0.3）92.01%。人工晶状体植入3023眼，植入率99.80%。术中、术后少数出现不同程度的并发症，虹膜炎症180眼，角膜内皮轻度水肿195眼，后囊破裂138眼，虹膜损伤30眼(虹膜根部断离15眼)，一过性高眼压23眼，25眼前房出血，24眼透明皮质残留。 对症处理后均得到好转或治愈，手术操作简单，并发症少。 结论:小切口白内障摘除人工晶状体植入操作简便、不需要昂贵设备，手术效果满意，费用低,适合于基层医院开展的复明手术。

Clinical analysis of small incision extracapsular enucleation combined with intraocular lens implantation for the treatment of cataract in primary level hospital

AIM:To investigate the clinical effect and comprehension of the small incision extracapsular enucleation combined with intraocular lens implantation for the treatment of cataract in primary level hospital. METHODS:From January 2001 to December 2011, 2713 cases (3029 eyes) underwent small incision extracapsular enucleation combined with intraocular lens implantation, and the suitability of the surgery and treatment effects were analyzed. RESULTS: Postoperative vision was improved significantly, one day after operation, 2963 eyes(97.82%)whose visual acuity was better than 0.05 could obtain bright light. 2671 eyes (88.18%) whose visual acuity was better than 0.3 could get rid of disability. Seven day after operation, 3011 eyes (99.41%) whose visual acuity was better than 0.05 could obtain bright light. 2787 eyes (92.01%) whose visual acuity was better than 0.3 could get rid of disability. 3023 eyes (99.80%) implanted intraocular lens, main postoperative complications included 180 eyes of iritis,195 eyes of corneal edema, 138 eyes of post-capsular rupture, 30 eyes of iris damage(15 eyes of iridodialysis), 23 eyes of intraocular hypertension, 25 eyes of hyphema and 24 eyes of crystalline lens residual.All complications could be cured by active treatment. The operation was simple and had less complications. CONCLUSION: The technique of small incision possesses satisfactory result, simple operation and cheap equipment, suitable for patients with cataract from poor areas in primary level hospital.