改良手法小切口白内障手术临床效果分析

Clinical analysis of modified manual small incision catarat extraction

目的探讨前房灌注手法小切口白内障手术(MSICS)的临床效果。方法选择老年性白内障,随机分成两组,治疗组(A组)151例(158眼):采用前房灌注维持前房进行连续环形撕囊,分体式抽吸技术抽吸皮质;对照组(B组)115例(122眼):采用黏弹剂维持前房,双腔管注吸针头抽吸皮质。结果治疗组连续环形撕囊成功率明显高于对照组,手术并发症明显低于对照组;术后第1天视力优于对照组,但术后1周、1月视力无显著性差异。结论改良MSICS手术安全性提高,手术并发症明显降低。

Objective To study clinical effect of manual small incision cataract extraction and intraocular lens implantation with anterior chamber perfusion. Methods The 266 patients （280 eyes） were assigned into 2 groups randomly： 151 patients （158 eyes） in treatment group and 115 patients （122 eyes） in control group. Continuous curvilinear capsulorrhexis （ CCC ） with anterior chamber perfusion was used for the treatment group. Cortex was removed by the anterior chamber maintenance and cortex extractor. Viscoelastic material to maintain the anterior chamber was used for the control group. Cortex was removed by dipl-duct. Results Compared with the control group, there was higher successful rate of CCC,lower occurance of complication, and better visual acuity one day postroperatively in the treatment group. But the visual acuity of the two group was no difference 1 week and 1 month after the surgery. Conclusion The modified manual small incision cataract surgery was more saftey with less complication.