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非超声乳化小切口白内障人工晶体植入治疗老年性白内障的观察
引用本文:李春林,吴刚,王安之. 非超声乳化小切口白内障人工晶体植入治疗老年性白内障的观察[J]. 新乡医学院学报, 2008, 25(4): 388-390
作者姓名:李春林  吴刚  王安之
作者单位:安康市中心医院眼科; 安康市中心医院眼科
摘    要:
目的探讨非超声乳化小切口白内障摘出联合人工晶状体植入术治疗老年性白内障的临床效果。方法对46例51眼老年性白内障患者施行非超声乳化小切口白内障摘出联合后房型人工晶状体植入术,观察术后视力恢复、散光及并发症。结果术后1周、1个月、3个月裸眼或矫正视力≥0.5者分别占84.4%、92.2%、94.2%;≥1.0者分别占49.0%、54.9%、56.9%。术前、术后1周、1个月和3个月平均散光分别为(0.92±0.79)D、(1.38±0.58)D、(0.98±0.63)D和(0.97±0.59)D,术后1周与术前比较有显著差异(P<0.001),术后1个月和3个月与术前比较无显著差异(P>0.05)。无娩核困难、后囊膜破裂、玻璃体脱出、人工晶状体偏位和虹膜损伤等并发症。结论非超声乳化小切口白内障摘出联合人工晶状体植入术治疗老年性白内障具有创伤小、角膜散光小、术后视力恢复良好、并发症少等优点。

关 键 词:老年性白内障  非超声乳化小切口白内障摘出术  人工晶状体植入术

Effect of small incision non-phacoemulsification cataract extraction combined with implantation of artificial lens for treatment of patients with senile cataract
LI Chun-lin,WU Gang,WANG An-zhi. Effect of small incision non-phacoemulsification cataract extraction combined with implantation of artificial lens for treatment of patients with senile cataract[J]. Journal of Xinxiang Medical College, 2008, 25(4): 388-390
Authors:LI Chun-lin  WU Gang  WANG An-zhi
Affiliation:( Department of Ophthalmology,the Central Hospital ofAnkang City,Ankang 725000, China)
Abstract:
Objective To observe the clinical effect of small incision non-phacoemulsification cataract extraction combined with implantation of artificial lens for treatment of patients with senile cataract. Methods Forty-six(51 eyes) patients with senile cataract were performed with small incision non-phacoemulsification cataract extraction combined with implantation of artificial lens,the sight,astigmatism and complications were observed. Results At 1 week,1 month and 3 months after operation,the naked eye or corrected vision (≥0.5) was 84.4% ,92.2% and 94.2% respectively, and the sight ( ≥ 1.0) were 49.0% ,54.9% and 56.9% respectively, the average astigmatism was ( 1.38 ± 0.58 )D. (0.98 ± 0.63 )D and (0.97 ± 0.59 )D respectively ,the average astigmatism was (0.92 ± 0.79 )D before operation. There was significant difference in average astigmatism at 1 week after operation and preoperative(P 〈 0.001 ), but there was no significant difference at 1 month, 3 monthes after operation and preoperation(P 〉0.05 ). There was no complications such as difficulties of cataract nucleus extraction, posterior capsular rupture, prolapsus vitrei, artificial lens dyssymmetry, iris damage, and so on. Conclusion Small incision non-phacoemulsification cataract extraction combined with implantation of artificial lens for patients with senile cataract has small wound, lower astigmatism, good sight recovery and few complication.
Keywords:senile cataract  small incision non-phacoemulsification cataract extraction  implantation of artificial lens
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