改良隧道切口非超声乳化白内障摘除联合折叠晶状体植入术临床应用观察

目的:观察改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术的临床效果和特点。方法:118例白内障患者的118只眼,随机分为2组:超声乳化白内障吸除联合折叠人工晶状体植入术手术组58只眼与改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术组60只眼。对比观察两种术式并发症及术后视力。结果:改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术与超声乳化白内障吸除术联合折叠人工晶状体植入术在白内障手术中的并发症、近远期术后视力比较,差异均无统计学意义,而改良隧道切口非超声乳化白内障摘除术的手术成本低于超声乳化白内障吸除术,且学习曲线短。结论:改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术适合在基层医院的白内障治疗中推广。眼科学报2007;23:247-251.

Clinical Application of Non-phacoemulsification Cataract Extraction with Foldable Intraocular Lens Implantation through a Modified Tunnel Incision

Purpose: To compare with phacoemulsification, to evaluate the clini cal outcomes and advantages of modified tunnel incision non-phacoemulsification and foldable intraocular lens (IOL) implantation. Methods: One hundred and eighteen eyes of 118 cataract patients were randomly divided into two groups: phacoemulsification and foldable IOL implanta tion group (58 eyes) as well as modified tunnel incision non-phacoemulsificatio n and foldable IOL implantation group (60 eyes). Intraoperative complications an d postoperative visual acuity were evaluated. Results: There was no significant difference in intraoperative compl ications and postoperative visual acuity between two groups. The cost of non-ph acoemulsification was less than that of the phacoemulsificaiton surgery. The Stu dy curve is also short in non-phacoemusification surgery. Conclusion: Modified tunnel incision non-phacoemulsification and fo ldable intraocular lens (IOL) implantation surgery is suitable to be promoted in cataract treatment.