高龄患者白内障超声乳化摘除和人工晶体植入术疗效分析

目的探讨高龄白内障患者实施白内障超声乳化摘除及人工晶体植入术的临床疗效及安全性。方法对82例(89眼),75～91岁老人施行白内障超声乳化摘除及人工晶体植入术,对术后视力、并发症进行回顾性分析。结果所有病人均成功完成手术并随访1～3年。术后视力:≤4.0 6眼(6.74%),4.3～4.7 31眼(34.83%),≥4.8 51眼(57.30%)。未发生严重的全身及眼部并发症。结论高龄白内障患者实施白内障超声乳化摘除及人工晶体植入术只要充分的术前准备、娴熟的手术技巧和精心的术后处理是安全、有效的,可获得满意的治疗效果。

Analysis of the effect of phacoemulsification combined with intraocular lens implantation for senile patients

Objective To evaluate the clinical effect and safety of phacoemulsification combined with intraocular lens implantation in the senile patients.Methods Total 89 eyes of 82 cases of 75~91 years old underwent phacoemulsification combined with intraocular lens implantation were analyzed retrospectively of postoperative vision and complications.Results All patients were finished successfully with primary intraocular lens implantation in capsule and were followed up 1 to 3 years.Postoperative visual acuity: there were 6 eyes(6.74%)≤4.0,31eyes(34.83%) ranged from 4.3 to 4.7,51 eyes(57.30%)≥4.8.There were no serious systemic and ocular complications.Conclusion The phacoemulsification combined with intraocular lens implantation is safe and effective in senile patients,as long as the preparation is full preoperative,the operation is accuracy and gentle during the operation and the observation is close postoperative.