门诊白内障患者表面麻醉下行超声乳化摘出术

目的 分析和探讨表面麻醉下行人障超声乳化摘出及人工昌状体植入术的可行性及其效果。方法 门诊非选择性地对１３２例１５７眼各种类型白内障在表面麻醉下进行了超声乳化摘出并人工晶状体植入术。结果 １５２眼（９６．８％）。麻醉满意，５眼（３．２％）增加球后麻醉后完成手术，术后视力及并发症与本科以往球后麻醉下所行白内障超声乳化术的效果相似。结论 表面麻醉下做巩膜隧道切口可满意地完成白内障超声乳化摘出及人工晶状体植入术，为门诊开展本手术提供了便利。

Phacoemulsification and intraocular lens implantation with topical anesthesia in out-patient department

Objective To evaluate the effect of phacoemulsification and intraocular lens implantation with topical anesthesia in out patients department.Methods Phacoemulsification and intraocular lens implantation were performed successively in 132 patients(157 eyes) with topical anesthesia.Results Phacoemulsification and intraocular lens implantation were successfully performed in 152 eyes(96.8%)with topical anesthesia and 5 eyes(3 2%)need retrobulbar anesthesia additionally.The visual acuity and complications after operation in the topical anesthesia were the same as that performed previously under retrobular anesthesia.Conclusions Phacoemulsification and intraocular lens implantation may be performed with topical anesthesia through scleral tunnel incision.It is convenient for us to perform the operations on the out patient patients with cataract.