哈萨克族208例白内障分析

208 cases of cataract in Kazak ethnic minority

目的分析新疆边远地区哈萨克族老年性白内障的特点和手术。方法统计本院2000-04/2003-03收治的哈萨克族老年性白内障患者白内障分期;及应用隧道切口白内障摘除方法(208例258眼)和手术并发症、手术中消毒配合等分析。结果本组病例中老年性白内障患者中白内障过熟期占39.5%,术后过熟期白内障19例视力低于0.2,视盘色淡,呈视神经萎缩状态。白内障并发青光眼单眼失明23例。结论哈萨克族居住在边远交通不发达地区,眼病防治知识缺乏;病例中发现部分过熟期白内障术后视力矫正不良,伴视神经萎缩;对哈萨克族老年性白内障施术因不习惯面部铺无菌巾且仰卧不能坚持,手术要求消毒严密,熟练快捷。

AIM: To analyze the characteristics and operation of the senile cataract of Kazak in the outlying districts of Sinkiang.· METHODS: Kazak patients (208 cases, 258 eyes) of senile cataract who had been accepted into our institute for medical treatment from April, 2000 to March, 2003 were analyzed, including operation method of tunnel incision, operation complication and disinfection during operation.· RESULTS: Cataract was at hypermature stage in 39.5% cases. Postoperative hypermature cataract appeared in 19 cases, and their visual acuities were below 0.2. The patients' visual optical disc color was light, and the optic nerve was at atrophy state. Unilateral sight loss caused by cataract accompanied by glaucoma appeared in 23 cases.· CONCLUSION: Since Kazak minority people live in the outlying underdeveloped area, they have few knowledge of eye disease prevention. In some cases of hypermature cataract, their sight was not corrected properly after operation, and optic nerve atrophy occurred. For patients who are not used to aseptic tower on face and cannot be supine for long time, operations need to be skilled and swift with complete aseptic pasteurization.·