新疆喀什地区假性剥脱综合征白内障复明手术探讨

Study on the cataract surgery with PES on Kashi district in Xinjiang in China.

目的评价和分析新疆喀什地区假性剥脱综合征（pseudoexfoliation syndrom，PES）白内障手术。方法本资料来自2004年6～8月在我国新疆喀什地区“健康快车”完成的晶状体超声乳化和人工晶状体植入术。诊断PES组有74例（74眼）。间隔随机抽样设置非PES组作对照组（448例）。比较两组手术效果，和手术复杂性（合并小瞳孔、晶状体悬韧带离断、晶状体半脱位或全脱位等）。结果两组术后视力差异无统计学意义（P〉0．05）。两组手术复杂性的差异有统计学意义。结论PES白内障手术后仍可获得良好的复明效果。新疆喀什地区（3个月）比较集中发现PES白内障，推测该地区是我国PES高发区。

Objective To evaluate and discuss on the cataract surgery with PES （pseudo exfoliation syndrome） on Kashi district in Xinjiang, Methods A total of 1468 subjects who underwent phacoemulsification and intraocular lens （IOL） implantation on Kashi district in Xinjiang from Jan to Aug 2004 were reviewed, There were 74 PES patients in all subjects.There were 448 cases without PES randomly. From other patients, exclusive of PES in control group. The postoperative vision results and intraoperative complications （ as pupil, zonular dehiscence et al） were observed, Results In both groups, the difference of the postoperative vision results was not significant statistically （P 〉 0.05）. The interpretative complications showed significant difference （ P 〈 0.05 ）. Relatively higher risk of operation on PES. Conclusions Phacoemulsification is a safer and reliable surgery for restoration of visual acuity in patients with PES cataract,although PES increase the risk of intraoperative complications in cataract surgery. To realize the risk of the surgery phaco on PES cataract precperatianal is important. It is necessary to investigate on PES patients on Kashi district in Xinjiang epidemically.