表麻下无缝线小切口白内障摘除人工晶体植入术在复明工程中的应用

目的探讨在表面麻醉下行无缝线小切口白内障摘除人工晶状体植入术在复明工程中的效果。方法对342例350眼白内障患者行表麻下无缝线小切口白内障摘除人工晶状体植入术,观察术中疼痛感、术后视力及并发症。结果手术过程中患者无痛感、能很好地配合手术共319眼(91.14%);术中偶感有轻度疼痛,可忍受并能配合手术顺利完成18眼(5.14%),总有效率达100.00%。无一例患者因疼痛无法承受手术而改行球后或球周麻醉。术后第1天裸眼视力0.1～0.3者43眼占12.29%,0.4～0.6者220眼占62.86%,0.6以上者87眼占24.86%。结论表麻下无缝线小切口白内障摘除人工晶状体植入术避免了相应的并发症,手术时间明显缩短,手术质量较好,适宜于大规模复明行动中以白内障为主的防盲治盲工作。

Application of cataract extraction and intraocular lens implantation with sutureless small incision under topical anesthesia in the sight restoration project

Objective To explore the effect of cataract extraction and intraocular lens implantation with sutureless small incision under topical anesthesia in the sight restoration project.Methods 350 eyes of 342 cases of cataract patients were underwent cataract extraction and intraocular lens implantation with sutureless small incision under topical anesthesia.Intraoperative pain,postoperative complications and visual acuity were observed.Result The process of surgery patients without pain and with cooperation were recorded in 319 eyes(91.14%);Intraoperative occasionally feel mild pain,but within endure and with cooperate with operation successfully were recorded in 18 eyes(5.14%),the total effective rate of 100.00%.No unbearable pain during surgery and diversion to the retrobulbar or peribulbar anesthesia occurred.Postoperative visual acuity of 0.1-0.3 were observed in 43 eyes accounting for 12.29%,0.4-0.6 in 220 eyes accounting for 62.86%,0.6 above 87 eyes accounting for 24.86% one day after operation.Conclusion The cataract extraction and intraocular lens implantation with sutureless small incision under superficial anesthesia can avoid corresponding complications,reduce the operation time obviously and ensure better quality of operation.It′s suitable for large scale cataract operation actions and primary hospital to carry out the prevention and treatment of blindness in people with cataract.