小切口白内障囊外摘除术在陕西省白内障复明工作中的应用

目的：探讨规模化白内障复明手术的特点以及采用小切口白内障囊外摘除联合人工晶状体植入术的效果及体会。

方法：对我院(陕西省复明一号手术车)2010-03/2011-11期间4 892例4 892眼小切口非超声乳化白内障囊外摘除手术进行回顾性分析，观察术后视力、术中及术后并发症、术后炎症恢复情况等。

结果：术后1d裸眼视力达0.3以上者4 521眼(92.42%)， 术后3d裸眼视力达0.3以上者4 571眼(93.44%)，Ⅰ期植入人工晶状体4 887眼，植入率99.90%。术中、术后并发症少，术后炎症恢复快。

结论：小切口白内障囊外摘除联合人工晶状体植入术简便、有效、经济、安全， 适合在大规模复明行动中应用。

Application on small incision extracapsular cataract extraction in large-scale vision recovery action in Shaanxi Province

AIM: To investigate the characteristics of scale cataract operations and the effects and experiences of small incision extracapsular cataract extraction with intraocular lens(IOL)implantation in large-scale vision recovery action.

METHODS: Four thousand eight hundred ninety-two cases(4 892 eyes)of cataract were treated by small incision non-phacoemulcification cataract extraction from March 2010 to November 2011 in our hospital(Fuming No.1 surgery car of Shaanxi Province)which were retrospectively analyzed. Visual acuity, intraoperative and postoperative complications, the recovery of postoperative inflammation were observed.

RESULTS: Visual acuity reached 0.3 or more in 4 521 eyes(92.42%)at 1d after the operation, at 3d after the operation in 4 571 eyes(93.44%), there were 4 887 eyes with IOL implantation, implantation rate was 99.90%. All the cases had lesser intraoperative and postoperative complications, and the postoperative inflammation recovered quickly.

CONCLUSION: Small incision extracapsular cataract extraction with IOL implantation is simple, effective, economical, safe and adapting for large-scale vision recovery action.