1262例透明角膜缘切口行白内障超声乳化手术的临床观察

目的：探讨我院透明角膜缘切口行白内障超声乳化术的安全性和有效性。方法回顾性分析我院2011年1月至2013年8月行白内障超声乳化吸除联合折叠人工晶状体植入1262例（1739只眼）术后视力、人工晶状体植入率及并发症处理等情况。结果术中植入人工晶状体1731只眼（99．5％），8只眼因后囊膜破裂未植入人工晶状体；术后1周矫正视力≥0．5者1268只眼，0．1～0．4者332只眼，＜0．1者139只眼。13只眼术后出现一过性高眼压，后囊破裂35只眼，角膜水肿中度357只眼，重度59只眼，角膜内皮失代偿1只眼，术后眼内炎3只眼。结论透明角膜缘切口行白内障超声乳化术具有麻醉简单、术后反应轻、视力恢复快的优点，只要规范操作，正确处理术后并发症，手术效果满意，是一种比较理想的手术方式。

Clinical observation on 1262 cases of clear corneal limbus incision cataract ultrasonic emulsification surgery

Objective To explore the safety and efficacy of our transparent corneal limbus incision cataract phaco . Methods A retrospective analysis of visual acuity , intraocular lens implantation rate and complications of treatment in 1262 cases （1739 eyes） of cataract ultrasonic emulsification combined fold intraocular lens implantation performed in our hospital between January 2011 and August 2011.Results Totally 1731 eyes （99.5%） received IOL implantation , while 8 eyes did not receive IOL implantation because of posterior capsular rupture .Best corrected visual acuity 1 week after op-eration was better than 0.5 in 1268 eyes, was 0.1 to 0.4 in 332 eyes, and was 〈0.1 in 139 eyes.There were 13 patients experienced postoperative transient high intraocular pressure .Other complications included 35 eyes posterior capsular rup-ture in 35 eyes, moderate corneal edema in 357 eyes, severe corneal edema in 59 eyes, severe corneal endothelial decom-pensation in 1 eye, and postoperative endophthalmitis in 3 patients.Conclusion With the standardized operations and proper management of postoperative complication , transparent corneal limbus incision cataract phaco is an ideal procedure , with the advantages of simpler anesthesia , satisfactory outcomes , milder postoperative reactions , and better visual recovery.