小切口囊外白内障摘除及人工晶状体植入术的临床效果

Clinical effect of small incision extracapsular cataract extraction with intraocular lens implantation for cataract treatment

目的:分析小切口白内障囊外摘出联合人工晶状体植入术的临床效果。方法:回顾性分析215例(230眼)白内障囊外摘出联合人工晶状体植入术。其中男115例(121眼),女100例(109眼),年龄30～89(平均59.5)岁,其中老年性白内障150例(160眼),外伤性白内障15例(15眼),青光眼并发白内障5例(5眼),代谢性白内障30例(35眼),先天性白内障15例(15眼)。结果:术后裸眼视力≥0.5的眼数术后1d,1wk,1mo分别为115眼(52.3%),163眼(74.1%),192眼(87.3%)。10眼视力没有提高。主要原因:(1)糖尿病视网膜病变6眼;(2)老年性黄斑病变2眼;(3)高度近视眼底改变2眼。结论:此项手术技术操作简单,易于掌握,效果可靠,适应证广,适合基层医院开展。

AIM： To observe the effect of small incision extracapsular cataract extraction （ECCE） combined with intraocular lens （IOL） implantation. METHODS： A total of 215 cases （230 eyes） undergoing small incision ECCE combined with IOL implantation were retrospectively analyzed. RESULTS： The visual acuity was 0.5 or better in 115, 163 and 192 eyes at postoperative 1 day, 1 week and 1 month, respectively, with no changes in 10 eyes. The main causes included diabetic retinopathy in 6 eyes, senile macular degeneration in two eyes and maculopathy of high myopia in two eyes. CONCLUSION： The small incision ECCE combined with IOL implantation is easy and effective, and thus is suitable for hospitals in rural areas and small cities.