晶状体调位钩劈核在小切口白内障囊外摘除及人工晶状体植入术中的应用

目的:评价晶状体调位钩劈核技术在小切口白内障囊外摘除+人工晶状体植入术中的应用。方法:对1206例双流县残联贫困白内障患者施行小切口白内障囊外摘除+人工晶状体植入术,术中采用晶状体调位钩进行劈核,观察术中、术后并发症及术后视力。结果:术中患者巩膜隧道切口外口均<5mm,术后3d视力>0.5者795例(65.92%),术后1mo视力>0.5者980例(81.26%),术中及术后并发症少见。结论:小切口白内障囊外摘除术中采用晶状体调位钩劈核器械简单、安全、有效、术后并发症少,适合在基层医院及大批防盲工作中推广。

Application of the lens hooks chopping technique in small scleral incision ECCE and IOL implantation surgery

·AIM:To evaluate the application of the lens hooks chopping technique in extracapsular cataract extraction(ECCE)and intraocular lens(IOL)implantation surgery with small scleral incision.·METHODS:Totally 1206 patients of the Disabled Persons’ Federation in Shuangliu County underwent the small scleral incision ECCE and IOL implantation surgery.During the operation,lens hooks were used in chopping lens nucleus.Intraoperative and postoperative complications were observed,and the visual acuity was also contrasted.·RESULTS:The sclerotic tunnel incision was less than 5mm.The corrected visual acuity >0.5 were in 795 eyes(65.92%)in postoperative day 3 and 980 eyes(81.26%)in postoperative month 1.Few complication were found in this groups.·CONCLUSION:Using the lens hooks in chopping lens nucleus during the small scleral incision ECCE and IOL implantation surgery is simple,safe,effective and with less complications,suitable for promotion in basic hospitals and blindness prevention.·