白内障扶贫复明手术探讨

目的：探讨山区白内障扶贫复明手术。方法：采用改良现代白内障囊外摘出术或小切口非超声乳化白内障摘除术，对2675只眼白内障施行复明手术。结果：术后第一天矫正视力0．3者57只眼(2．13％)，0．5～0．8者1829只眼(68．37％)，≥0．9者509只眼(19．03％)。角膜水肿71只眼(2.65％)，后囊膜破裂致玻璃体脱出87只眼(3．25％)，全部均可同时植入人工晶体。结论：采用改良的白内障摘除手术，做到开源节流，既能使更多的贫困患者接受复明手术，又保证了手术质量。

A study of cataract extraction to help poor people to resume vision in the coteau,Hanping Huang

Objective:The study was designed to evaluate cataract extraction to help poor people to resume vision in the coteau. Methods : 2675 eyes with cataract were treated with modificatory modern extracapsular cataract extraction or non-phacoemulsification cataract extraction with small incision. Results: The first day of postoperation, the visual acuity with correction was 0.3 in 57 eyes(2.13%), 0.5 to 0.8 in 1829 eyes(68.37%), 50.9 in 509 eyes(19.03%).There were corneal edema in 71 cases (2.65%) , and vitreous hernia followed posterior capsular rupture in 87 cases (3.25%), and in the mean time all of the cases were implanted intraocular lens . Conclusion:It can be saved the money and material with modificatory cataract extraction,and more poor people can be received operation to resume vision, by the way the quality was kept well .