MSICS术中并发症的临床分析(英文)

Clinical analysis of complications during manual small incision cataract surgery

目的:探讨手法小切口白内障摘除(manualsmallincisioncataractsurgery,MSICS)术中并发症发生原因及处理。方法:对160例白内障,局麻后行角巩膜隧道小切口白内障摘除并人工晶状体植入术,回顾其术中出现并发症的情况。结果:术中并发症主要是角膜损伤、后囊膜破裂、虹膜损伤、虹膜脱出、前房出血,主要原因是技术不熟练和操作经验不足。结论:掌握手术适应证和手术技巧,谨慎操作,可降低术中并发症的发生率,及时的处理术中并发症可以获得满意的手术效果。

AIM： To discuss the cause and management of complications during the manual small incision cataract surgery （MSICS）. METHODS： Manual small incision cataract surgery combined with intraocular lens implant （MSICS-IOL） were done in 160 patietns with cataract. In this paper, we reviewed the clinical data of the intraoperative complicaUons. RESULTS： Complications including cornea injury, iris injury, posterior capsule rupture, iris prolapse and hyphema, were mainly caused by inexpert skill and lacking of experience. CONCLUSION： Mastering the indication and operating techniques, careful operation could decrease the incidence of complications during MSICS operation. By proper management, the intraoperative complications could be solved satisfactorily.