抛光前囊膜及赤道部在白内障超声乳化人工晶状体植入术中的应用

目的：探索抛光前囊膜及赤道部在白内障超声乳化人工晶状体植入术中的应用价值。

方法：选取我院2012-05/2015-01收治的白内障患者112例112眼为研究对象，在其知情同意下按是否抛光前囊膜及赤道部分为未抛光组及抛光组各56例56眼，术式均为白内障超声乳化摘除人工晶状体植入术，术后随访18mo，比较两组患者临床疗效。

结果：两组患者并发症发生率分别为7.1%和16.1%，抛光组并发症发生率更低，差异有统计学意义(P<0.05)； 抛光组术后各时段人工晶状体有效位置(effective lens position，ELP)、屈光状态、裸眼视力与未抛光组比较，差异有统计学意义(P<0.05)。

结论：抛光前囊膜及赤道部可显著提高白内障超声乳化摘除人工晶状体植入术治疗效果。

Application of polishing anterior capsule and equator in phacoemulsification and intraocular lens implantation

AIM: To explore the application value of polishing anterior capsule and equator in the phacoemulsification and intraocular lens implantation.

METHODS: Totally 112 cases of cataract patients in our hospital from May 2012 to January 2015 were selected as research objects. They were divided into unpolished and polished group according to whether the anterior capsule and equatorial part polished or not with the informed consents, 56 cases in each group. The patients were followed up for 18mo after phacoemulsification and intraocular lens implantation. The clinical efficacy of the two groups was compared.

RESULTS: The complication rates of the two groups were 7.1% and 16.1%, that of the polished group was lower and the difference was statistically significant(P<0.05). The lens position(effective lens position, ELP), refractive state, uncorrected visual acuity compared with unpolished group were statistically significant(P<0.05).

CONCLUSION: Polishing anterior capsule and equator can significantly improve the effect of phacoemulsification combined with intraocular lens implantation in the treatment of cataract.