白内障复明手术效果影响因素分析

目的:分析影响白内障复明手术效果的因素。方法:对2004年1月-2006年6月218例(226眼)白内障防盲手术的临床资料进行回顾性分析。结果:226眼中脱盲215眼(95.13%),脱残170眼(75.22%),人工晶状体植入率99.56%(225眼)。未脱残的56眼中,高度近视视网膜病变19眼(33.93%),年龄相关黄斑病变14眼(25.00%),发生影响视力恢复的手术并发症者13眼(23.21%),青光眼视神经萎缩4眼(7.14%),糖尿病视网膜病变3眼(5.35%),术前无晶状体眼1眼(1.79%),既往有视网膜脱离手术史1眼(1.79%),黄斑裂孔1眼(1.79%)。结论:原发眼病、手术并发症和年龄是影响白内障手术复明效果的主要因素。

Analysis of Factors Influencing Visual Outcomes of Cataract Extraction

Objective:To analyse the factors influencing visual outcomes of cataract extraction.Methods:A retrospective analy- sis were performed on 218 patients(226 eyes)who had undergone cataract surgeries between Jan 1,2004 and Jun 30,2006.Re- sults:After operation,215 eyes(95.13%)were relieved from blindness.The final best correct visual acuity was 0.3 or better in 170 eyes(75.22%).225 eyes(99.56%)were implanted with intraoeular lens.There were 56 eyes with corrected visual acu- ity less than 0.3. Among these 56 eyes,there were 19 eyes(33.93%)with high myopia,14 eyes(25.00%)with age-related macular degeneration,13 eyes(23.21%)with surgical complications,4 eyes(7.14%)with optic atrophy from glaucoma,3 eyes(5.35%)with diabetic retinopathy.Conclusion:Primary eye diseases,complications and age were the main factors influen- cing visual outcomes of cataract surgery.