双手劈核术在小瞳孔白内障手术中的应用

目的：探讨双手劈核术在小瞳孔白内障超声乳化术中的安全性。方法：对小瞳孔白内障患者30例32眼采取双手劈核白内障超声乳化及人工晶状体植入术。术后1d； 1wk； 1mo观察患者视力、瞳孔和并发症等情况。结果：术后1d，裸眼视力≥0.3者27眼（84.4%），术后1wk，裸眼视力≥0.3者30眼（93.8%），术后1mo，裸眼视力≥0.5者28眼（87.5%）。所有患者瞳孔圆形或椭圆形，术后随访1mo无虹膜粘连。结论：双手劈核术在葡萄膜炎并发小瞳孔白内障超声乳化术的应用是安全和有效的。

Application of hands chopping cataract surgery in patients with microcoria

AIM: To discuss the safety of hands chopping phacoemulsification in patients with microcoria cataract.

METHODS:Hands chopping phacoemulsification with intraocular lens implantation was used for the microcoria cataract of 30 patients(32 eyes). Their visual acuity, pupil, and complication were observed in postoperative 1d,1wk and 1mo.

RESULTS: Postoperative naked vision be or more than 0.3 were in 27 eyes(84.4%)at one day, be or more than 0.3 were in 30 eyes(93.8%)at one week, be or more than 0.5 were in 28 eyes(87.5%)at one month. All pupil returned to round or oval. No synechia happened in postoperative 1mo.

CONCLUSION:Hands chopping nucleus operation is safe and effective for uveitis combined with microcoria phacoemulsification.