小切口非超声乳化白内障手术900例的临床分析

目的小切口非超声乳化白内障手术900例的临床疗效分析。方法2008年4月至10月我院开展900例小切121非超声乳化白内障手术，对其临床资料进行分析。结果术后视力均有不同程度提高，视力≥0．05者893例，复明率99．22％，视力≥0．3者790例，脱残率87．78％；植人人工晶体者864例，植人率96．00％；术中、术后少数出现不同程度的并发症，虹膜炎61例、角膜内皮轻度水肿53例、屈光不正≥±1．50D者46例、后囊膜破裂37例、虹膜损伤29例（其中虹膜根部断离7例、出血12例）、前房出血28例、一过性高眼压21例、透明皮质残留4例等，经对症处理后均得到好转或治愈，未见大泡性角膜炎、眼内炎等严重并发症。结论临床显示小切口非超声乳化手术疗效显著，适应症广泛，并发症少，成本低，较适合应用于基层医院开展防盲治盲和集中开展民生工程。

Clinical analysis of 900 cases of small incision non-phacoemulsification Cataract surgery

Objective To analyze clinical effect of 900 cases of small incision non-phacoemulsification in the project of livelihood of the people. Method 900 cataract patients accepted small incision non-phacoemulsification surgery from April,2008 to October,2008. all clinical data. Results All eases had vision improvement. 893 cases（99.22%） whose visual activity was better than 0.05 could obtain Bright Light. 790 eases（87.78%） whose visual activity was better than 0.3 could get rid of disability.864 eases （96%） implanted intraocular lens. Main postoperative complications included 61 eyes of iritis ,53 eyes of corneal edema, 46 eyes of ametropia, 37 eyes of post- capsular rupture, 29 eyes of iris damage ,21 eyes of intraocular hypertension, 28 eyes of hyphema and 4 eyes of crystalline lens residual. All complications could be cured by active treatment. Conclusion Small incision non-phaeoemulsification surgery which can be used for blindness prevention and the project of livelihood of the people has a lot of merit,such as good curative effect, extensive indication, few complication,low cost.