初学者对于小切口白内障手术的体会

Experience of small incision cataract surgery for beginner

目的:探讨初学者对于小切口白内障的手术技巧以及相关并发症的发生原因和处理方法。方法:回顾分析87例(93眼)采用小切口白内障囊外摘除联合人工晶状体植入手术。结果:术后裸眼视力≥0.5的眼数术后1d,1wk,1mo分别为35眼(38%),50眼(54%),74眼(80%);术中及术后发生了一些并发症(如晶状体后囊膜破裂,虹膜睫状体炎,瞳孔变形,人工晶状体偏位等),予以相应处理,矫正视力≥0.3。结论:小切口白内障手术具有安全经济的特点,充分的术前准备和每一手术步骤的细致操作对于初学者来说是必要的保证,连续的环形撕囊是减少术后并发症的关键,来自上级医生的正确指导也是手术顺利的重要因素。

AIM： To explore the efficacy, skills and complications of small incision cataract surgery for beginner. METHODS： Eighty-seven cases （93 eyes） underwent small incision cataract surgery combining with lens implantation in our hospital were retrospectively analyzed. RESULTS： The uncorrected visual acuity 0.5 or better were 35 eyes （38%）, 50 （54%）, and 74 （80%） 1 day, 1 week, and 1 month after operation, respectively. The complications including posterior capsular rupture, iridocyclitis, mild pupil deformation, and IOL decentration could be deal with and vision recovered with better visual acuity ≥0.3. CONCLUSION： Small incision cataract surgery is safe, effective and economic. Beginners need more working and preparing before operation and do well each step. Posterior continuous curvilinear capsulotomy is a key to avoid more complications. Advice from supervisor is very important too.