小切口非超声乳化白内障摘出术在基层医院的临床观察

The Clinical Observation of Small-incision on Non-phacoemucification Cataract Extraction in Primary Hospital

目的探讨小切口非超声乳化白内障摘除及后房型人工晶体植入术的临床效果。方法在开展防盲治盲工作中对236例(258只眼)施行小切口非超声乳化白内障摘除联合后房型人工晶体植入术,并对术中术后并发症及术后视力进行回顾性分析。结果术后第1天视力≥0.3者211只眼,占81.78%;术后第3天视力≥0.3者241眼,占93.41%;术中术后并发症:角膜水肿63眼(24.41%),前房出血12眼(4.65%),瞳孔上移14眼(5.42%),人工晶体脱位8眼(3.10%),虹膜脱出6眼(2.32%),后囊膜破裂19眼(7.36%)。结论小切口非超声乳化白内障摘除术具有安全有效、创伤小、并发症少、视力恢复快及经济等优点,而且简单易施,因此非常适合在基层医院推广普及。

Objective To study the clinical effect of small-incision on non-phacoemucification cataract extraction with intraocular lens implantation at the work of preventing and treating blindness. Metheds The operation was performed on236cases（258 eyes）.Intraoperative and postoperative complication, Postoprative visual acuity were retrospectively observed. Results 211 eyes（81.78%） had the postoperative visual acuity≥ 0.3; one day after the operation and 241 eyes（93.41%） had the visual acuity（≥0.3）three days later. The intraoperative and postoperative complication were corneal edema in 63 eyes（24.41%）, hyphema in 12 eyes（4.65%）, displacement of pupuil in 14 eyes（5.42%）, dislocation of the IOL in 8 eyes（3.10%）, iris prolapse in 6 eyes（2.32%）; posterior capsular rupture in 19 eyes （7.36%）. Conclusion Small-incision on non-phacoemucification cataract extraction with IOL implantation has the advantages of safe and effective, little damage and less complication, fast visual rehabilitation and less expensive, therefore, It is suitable to be popularized in the primary hospital in our cotmtry.