小瞳孔下行手法小切口白内障摘除术的临床观察

Manual small incision cataract surgery under small pupil

目的:探讨手法小切口白内障摘除术在小瞳孔白内障中的应用。方法:对30例38眼小瞳孔白内障行手法小切口白内障摘除联合人工晶状体植入术,术中采用不同手术技巧扩张瞳孔,顺利娩出晶状体核。结果:术后1wk裸眼视力>0.5者16眼(42%),0.5≥视力≥0.3者19眼(50%),视力<0.3者3眼(8%),无明显并发症。结论:小瞳孔下行手法小切口白内障摘除手术是一种安全可靠的方法。

·AIM：To discuss the manual small incision cataract surgery under small pupil.·METHODS：Totally 30 patients 38 eyes with cataracts underwent the manual small incision cataract surgery and intraocular lens implantation.Different ways were performed to dilate the small pupils during the surgery and the cataract was extracted smoothly.·RESULTS：The visual acuity of 16 eyes（42%）was better than 0.5.The visual acuity of 19 eyes（50%）was between 0.5 and 0.3.The visual acuity of 3 eyes（8%）was lower than 0.3.No complication was found in all cases.·CONCLUSION：Manual small incision cataract surgery is a safe and effective way to solve cataract in small pupils.·