手法碎核小切口白内障手术并发症的预防与处理

Discussion of prevention and management of small-incision manual extracapsular cataract surgery's complications

目的手法碎核小切口白内障摘除联合人工晶体植入术中,手术并发症的预防及处理探讨。方法开展防盲治盲工作中,共施行80例(85只眼)的手法碎核小切口白内障摘除联合人工晶体植入术,对发生并发症进行回顾性分析。结果手术并发症:后囊膜破裂10只眼(11．8％),虹膜脱出2只眼(2．4％),角膜水肿19只眼(22．4％),瞳孔上移5只眼(5．9％),人工晶体异位3只眼(3．5％),孔源性视网膜脱离1只眼(1．2％)。结论后囊膜破裂和角膜水肿是手法碎核小切口白内障摘除联合人工晶体植入术主要并发症,手术者应规范掌握手术要点是预防并发症发生的关键,对出现的手术并发症应积极妥善处理。

Objective To explore preventing and manageing of cataract surgery's complication of small-incision manual extracapsular cataract and intraocular lenses implantation at work of preventing and tieating blindness . Methods: Retrospectively analyze complications of small-incision manual extracapsular cataract and IOL implantation at work of preventing and tieating hlindness. Results the complications of small-incision manual extracapsular cataract and IOL implantation were posterior capsular rupture in 10 eyes (11.8%) , iris prolapse in 2 eyes (2.4%) , corneal edema in 19 eyes (22.4%) , displacement of pupil in 5 eyes (5.9%) , dislocation of the IOL in 3 eyes (3.5%); retinal detachment in 1 eye (1.2%). Conclusion The most complications of cataract surgery are rupture of posterior capsular and corneal edema .Masterring basic contents of surgery is criterion for preventing complications.