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小切口白内障手术580例临床回顾

Small Incision Cataract Surgery:Clinical Retrospective Analysis of 580 Cases
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摘要 目的探讨小切口白内障摘除手术方法疗效及手术并发症。方法对560例580只眼白内障患者行小切口白内障摘除术人工晶体植入术,对其术后疗效及并发症进行临床分析。结果术后1~3月最佳矫正视力大于等于0.5的有550只眼(94.83%),术中并发症,虹膜脱出30只眼(5.17%),虹膜根部离断4只眼(0.69%),晶状体后囊破裂6只眼(1.03%),前房出血30只眼(5.17%),后弹力层脱离30只眼(5.17%)。术后并发症109只眼(18.79%)包括角膜水肿50只眼(8.62%,其中内皮条样混浊40只眼),前房纤维渗出40只眼(6.90%),短暂性高眼压10只眼(1.72%),前房积血5只眼(0.86%)瞳孔夹持4只眼(0.70%)。结论小切口的白内障摘除术,具有操作相对简单、术后视力恢复快、安全经济的特点。手术技巧的提高,将会减少并发症的发生。 [ Objective ] To discuss the effect of small incision cataract and the surgery complication. [ Methods ] Small Incision cataract surgery and intraocular lens implantation surgery were performed on 580 eyes of 560 cases, the curative effect and the surgery. complication were analyzed clinically. [ Results] Totally 550 eyes'the best corrected visual acuity was more than 0.5 1 - 3 months after surgery, accounting for 94.83%, ; 30 eyes (5.17%) had iris prolapse and intraoperative complications; 4 eyes (0.69%) had iridodialysis; 6 eyes 1.03% )had posterior capsule rupture; 30 eyes (5.17%) had hyphema; 30 eyes had (5.17%) ; 109 eyes ( 18.79% ) had postoperative complications, including corneal edema in 50 eyes ( 8.62%, of which endothelial - like opacity in 40 eyes ) ; 40 eyes ( 6.90% ) had inflammation of anterior chamber; 10 eyes ( 1.72% ) had transient high intraocular hypertension ; 5 eyes ( 0.86% ) had hyphema, 4 eyes had pupillary captm'e. [ Conclusion] Small incision cataract has the characteristics of relatively simple operation, rapid recovery of postoperative visual acuity, safety and economic. The improvement of surgery technique Will reduce the incidence of complications.
出处 《职业与健康》 CAS 2009年第24期2841-2842,共2页 Occupation and Health
关键词 小切口 白内障摘除 并发症 Small incision Cataract surgery Complication
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