黑龙江省齐齐哈尔地区扶贫白内障复明手术1520例临床分析

目的:探讨黑龙江省齐齐哈尔地区扶贫白内障复明手术1520眼的手术效果及对并发症进行分析。方法:对齐齐哈尔市第一医院完成的贫困白内障患者实施免费白内障超声乳化摘除并人工晶状体植入手术1520例的效果与并发症进行分析。结果:术后1wk视力>0.5者913眼(60.07%),术后1mo视力>0.5者1219眼(80.20%),视力>0.8者815眼(53.62%),视力<0.25者52眼(3.42%)。常见并发症包括:后囊破裂121眼(7.96%),虹膜损伤58眼(3.82%),脉络膜下暴发性出血1眼(0.07%),前房积血15眼(0.99%),角膜水肿230眼(15.13%),一过性高眼压58眼(3.82%),迟发性眼内炎2眼(0.13%)。结论:齐齐哈尔市第一医院眼科开展白内障复明手术临床疗效较好。白内障超声乳化摘除联合人工晶状体植入术在扶贫手术中同样可行。

Clinical analysis of the effect of cataract surgeries on 1520 cases in the poverty alleviation action in Qiqihaer area of Heilongjiang province

·AIM:To discuss and analyze the operative results,skills and postoperative complications of 1520 eyes in the poverty alleviation action in Qiqihaer area of Heilongjiang province.·METHODS:The effect and complication of the cataract surgeries on 1520 cases were analyzed.The cataract surgeries were free to the poverty patients and finished by the doctors of the First Hospital of Qiqihaer.·RESULTS:Of the 1520 eyes 913 eyes(60.07%)improved their visions above 0.5 one week after the surgeries;1219 eyes(80.20%)improved their visions above 0.5 one month after the surgeries;815 eyes(53.62%)improved their visions above 0.8 after the surgeries;52 eyes’(3.42%)visions were below 0.25 after the surgeries.The complications:121 eyes(7.96%)were complicated with posterior-capsule rupture;58 eyes(3.82%)were complicated with iris damage ;1 eye(0.07%)was complicated with fulminating choroidal hemorrhage;15 eyes(0.99%)were complicated with hyphema;230 eyes(15.13%)were complicated with corneal edema;58 eyes(3.82%)were complicated with temporary intraocular hypertension ;2 eyes(0.13%)were complicated with tardive endophthalmitis.·CONCLUSION:TheCataract Extraction Projectimplemented in Qiqihaer area obtained the prospective objectives and satisfying effects.Phacoemulsification combined with implantation of IOL is also suitable forCataract Extraction Project in the poverty area.·