透明角膜切口超声乳化折叠人工晶状体植入术138例分析

目的 探讨透明角膜小切口白内障超声乳化及折叠式人工体植入术的方法及疗效。方法 对１３８例（１６８只眼）白内障病人进行透明角膜切口的超声乳化白内障摘出术，全部病 列均采用表面麻醉及植入折叠式人工晶状体，术后观察手术反应、视力和并发症。结果随访第１天的；裸眼视力在０．４以上者有１５７眼，占９３．４５％，术后１周和手术后１个月的矫正视力在０．５以上者分别为１５２眼（９０．４８％）和１６０眼（９５．４

Phacoemulsification and foldable IOL implantation with clear corneal incision

Objective To estimate the method and effect of the phacoemulsification and foldable intraocular lens implantation through a small clear corneal incision. Methods 138 cases of patients (168?eyes)with cataract includes the senile cataract.Complicated cataract,and traumatic cataract were operated with phacoemulsification and foldable IOL implantation through a clear corneal incision under topical anaesthesia.The visual acuity and the complications were observed postoperatively. Results Postoperatively,the uncorrected visual acuity was 0 4 in 157?eyes(93 45%) on d?1.The corrected visual acuity 0 5 or better after the first week and first month were achieved in 152?eyes(90 48%) and 160?eyes(95 24%),respectively.The inflammatory reaction after operation was associated with the hardness of the nuclei,the time and the power of phaco. Conclusion Phacoemulsification with foldable lens implantation through a clear corneal incision under the topical anaesthesia was a safe and effective method for the treatment of the cataract.The advantages and the technique of the topical anaesthesia used during the phacoemulsification was discussed in detail.