小切口白内障囊外摘出及人工晶状体植入手术的体会

目的:探讨小切口白内障摘出及人工晶状体植入手术的方法、预防并发症的技巧及临床效果。方法:对842例944眼白内障患者采用小切口白内障囊外摘出联合后房型人工晶状体植入完成手术。结果:术后3mo回访347例504眼,矫正视力≤0.3者27眼(5.4%),其中2眼为高度近视豹纹状眼底,0.3～0.5者102眼(20.2%),0.5～1.0者305眼(60.5%),1.0以上者70眼(13.9%)。结论:小切口白内障囊外摘出联合后房型人工晶状体植入术避免了昂贵的手术设备,可安全地将晶状体核娩出,切口自身密闭性能好,实现了小切口和无缝线。术后散光小,视力恢复快且稳定,符合贫困地区医院现状。

Experience of small incision cataract extraction andintraocular lens implantation

AIM: To study the small incision cataract extraction and intraocular lens implantation method, prevention skills of complications and clinical effect.

METHODS: Small incision cataract capsule outside removing joint intraocular lens implantation were performed on 842 cases of cataract patients(944 eyes).

RESULTS: Three months after the operation, 347 cases(504 eyes)were paid a return visit. The corrected visual acuity less 0.3 was in 27 eyes(5.4%)among which 2 cases of high myopia leopard grain shape; 0.3 to 0.5 was in 102 eyes(20.2%); 0.5 to 1.0 was in 305 eyes(60.5%); above 1.0 was in 70 eyes(13.9%).

CONCLUSION: Small incision cataract capsule outside removing joint intraocular lens implantation can safely deliver nucleus, avoids the expensive operation equipment, and realizes the small incision without suture. Postoperative astigmatism is small, visual acuity recover fast and stably. It conforms to the impoverished area hospital situation.