小切口非超声乳化联合人工晶体植入术治疗白内障的临床分析

Clinical study of small-incision non-phacoemulsification ECCE and intraocular lens implantation

目的:探讨小切口非超声乳化白内障囊外摘除人工晶状体植入术的难点及优点,推广该手术方式。方法:通过巩膜隧道反眉形切口行非超声乳化白内障囊外摘除人工晶状体植入术,分析手术难点及常见并发症及处理。结果:317例(373眼)术后一月视力≥0.4者有315眼(84.45%),患者对手术结果较满意。结论:小切口非超声乳化囊外摘除人工晶体植入术易于掌握,经济高效,是基层开展白内障复明手术值得推广的手术方式。

Objective： To observe the advantages and difficulties of small-incision non-phacoemulsification ECCE and intraocular lens implantation. Methods： 317 cases（373 eyes） of cataract received mall-incision non-phacoemulsification ECCE and intraocular lens implantation with frownshaped scleral tunnel incision, We analysis the difficulties and complications of this surgery. Resuits： One month after surgery, there were 315 eyes which the visual acuity was better than 0, 4 （84.45%）. All patients were satisfied with surgery. Conclusion： Small-incision non-phacoemulsification ECCE and intraocular lens implantation needs not expensive instruments and easy to catch on, it is more valuable to be spread used for hospitals at grass roots .