从白内障囊外摘除到超声乳化吸出转换初探

An evaluation of technique making transition from ECCE to phacoemulsification

对５４例（５４眼）老年性、并发性和先天性白内障施行改良式Ｍａｌｏｎｅｙ法超声乳化吸出并后房型人工晶体植入术，同期将４９例（５３眼）行白内障囊外摘除后房型人工晶体植入术的病例作为对照。结果术后近期改良式Ｍａｌｏｎｅｙ法超声乳化吸出术组裸眼视力０．１—０．４者占１．８５％，０．５—０．９者占７５．９２％，１．０以上者占２２．２％，散光为１．７５±０．５Ｄ，小于对照组（Ｐ＜０．０１）。结论改良的Ｍａｌｏｎｅｙ式超声乳化碎核方法是一种安全、易学的转换技术。

bjective The study was designed to investigate the technique making transition from ECCE to phacoemulsification for beginner.Methods phacoemulsification using modified Maloney technique with posterior chamber intraocular lens implantation was performed on 54 eyes with senile,complicated and congenital cataract in contrast to 53 eyes of 49 patients with senile cataract operated on by ECCE with posterior chamber intraocular lens implantation.Results The uncorrected visual acuity 01—0,4 was in 185%,05—09 in 759% and 10 or bett er in 222%.The postoperative astigmatism was 175±05D,which was less than that in large incision(ECCE) group(P<001).Conclusions The modified Maloney technique is a safe and easy learning one for beginner to make transition from ECCE to phacoemulsification.