小切口非超声乳化白内障摘出术的临床观察

探讨小切口非超声乳化白内障手术的疗效及安全性。 方法：对2010-06/2011-06在我院住院的300例360眼白内障患者行表面麻醉小切口非超声乳化白内障联合人工晶状体植入术,术后1wk；3mo观察视力及并发症。 结果：术后1wk，矫正视力≥0.05者356眼(脱盲率98.9％),其中0.1～0.2者13眼,0.3～1.0者315眼（脱残率87.5%）。术后3mo，矫正视力≥0.05者356眼(脱盲率98.9％),其中01～0.2者6眼,0.3～1.0者322眼（脱残率89.4%）。术中后囊膜破裂26眼(7.2%);上方虹膜反复脱出19眼(5.3%);角膜水肿28眼(7.8%);虹膜根部离断8眼(2.2%),前房积血5眼(1.4%);上方切口渗漏10眼(2.8%)；黄斑囊样水肿10眼（2.8%）；后囊混浊12眼（3.3%)。本组病例术中无晶状体核坠入玻璃体腔和暴发性脉络膜上腔大血发生。 结论：小切口非超声乳化白内障摘出手术并发症少、疗效好，是白内障复明的有效方法

Clinical observation of small incision non-phacoemulsification cataract extraction and intraocular lens implantation

AIM:To analyze the safety and efficacy of small incision non-phacoemulsification cataract extraction and intraoclar les(IOL) implantation.METHODS:Totally 300 cases(360 eyes) of cataract had been operated with small incision non-phacoemulsification cataract extraction and IOL implantation in our hospital.The vision and complications of the patients were observed after 1 week and 3 months.RESULTS:After 1 week,postoperative vision was ≥0.05 in 356 eye(98.9%),0.1-0.2 in 13 eyes,0.3-1.0 in 315 eyes(87.5%).After 3 months,postoperative vision was ≥0.05 in 356 eyes(98.9%),0.1-0.2 in 6 eyes,0.3-1.0 in 322 eyes(89.4%).During surgery,26 eyes(7.2%) had posterior capsule rupture,19 eyes(5.3%) had repetitive prolapse of upper iris,28 eyes(7.8%) had cornea edema,8 eyes(2.2%) had mutilation of iris root,5 eyes(1.4%) had anterior chamber hemorrhage and 10 eyes(2.8%) had upper incision leakage.10 eyes(2.8%) had cystoid macular edema;12 eyes(3.3%) had posterior capsule opacification.There was no case with lens nucleus falling into vitreous cavity or epichoroidal explosive hemorrhage.CONCLUSION:Taking account of the advantages of the small incision non-phacoemulsification cataract extraction and IOL implantation,such as good efficacy,high safety and less complications,it is a good way for cataract surgery.