小切口非超声乳化白内障200例临床疗效分析

Analysis of non-phacoemulsification with small incision in treatment of 200 cases cataract

目的:探讨小切口非超声乳化治疗白内障的临床疗效。方法:回顾分析200例老年性白内障采用小切口非超声乳化治疗,观察手术效果及术中、术后并发症,术后随访6～18mo。结果:200例术眼中,后囊膜破裂7例,虹膜根部离断2例,术后1d角膜内皮水肿52例,前房积血11例,人工晶状体偏位3例,切口渗漏2例,术后1mo,视力均>0.2,术后6～18mo视力≥0.5的181例,占90.5%,平均散光(0.97±0.52)D。结论:该术式切口小,愈合快,散光小,视力恢复快,设备要求低,学习周期短,易掌握,只要在手术过程中注意手术细节及技巧,即可获得满意的手术效果,在贫困地区及基层医院值得推广。

AIM： To study bhe effect of non-phacoemulsification wibh small incision for treating cataract. METHODS： We performed a retrospective analysis of 200 cases senile cataract underwent non-phacoemulsification with small incision. Operative effect and complications of intraoperative and postoperative were observed. RESULTS： Among 200 cases operations, 7 cases posterior capsular rupture, 2 cases rupture of the iridodialysis, 52 cases corneal endothelial edema after 1 day, 11 cases hyphema., 3 cases IOL dislocation, 2 cases incision leakage, the postoperative average vision after 1 month 〉0.2, the vision of 6 to 18 months after operation among 181 cases （90.5%） were t〉0.5, the average astigmatism degree were 0.97±0.52D. CONCLUSION： Non-phacoemulsification with small indsion is small indsion, satisfied postoperative visual acuity, non-spedfic equipment. This operation can apply in poor area and basic-level hospital extensively.