白内障超声乳化术与人工晶状体植入术546例

目的 对超声乳化联合人工晶状体植入手术治疗白内障的临床结果进行分析研究。方法 在表面麻醉下对５４６例６７２眼不同类型的白内障患者施行不同切口的超声乳化摘出术，并植入人工晶状体。结果 术后３ｈ及１ｄ裸眼或球镜矫正视力≥０．５者分别占８３．０％、８８．９％；术后１ｗｋ及１ｍｏ视力≥１．０者分别占２７．２％、２８．５％。术前无散光而术后出现散光３５例，但均在＋１．０Ｄ以下，且不同类型的白内障患者术后视力在排除合并症干扰后并无显著差异（Ｐ〉０．０５）。结论 超声乳化加人工晶状体植入术可广泛应用于临床所见的各种类型的白内障。

Clinical analysis of phacoemulsification and intraocular lenses implantation on 546 patients

Objective To analyze the therapeutic effects of phacoemulsification with intraocular lens in several kinds of cataract.Methods The surgery was performed under topical anesthesia on 672 eyes of 546 patients with senile ,complicated ,congenital and traumatic cataracts through different incision.Results Postoperatively, the visual acuities with spherical correction or without correction were 0.5 or better in 83.0%, 88.9% of the eyes three hours later and in one day; and 1.0 or better in 27.2%, 28.7% in one week and one month. The mean postoperative astigmatism was all under 1.0D which was not found preoperatively in only 35 patients. There was no significant difference of the visual acuities between every two kinds of different cataract.Conclusion The phacoemulcification with intraocular lens implantation can be widely used in treating different kinds of cataract.