小切口白内障囊外摘除人工晶状体植入术312例临床分析

Clinical analysis of 312 cases small incision cataract extraction and intraocular lens implantation

目的:探讨白内障小切口囊外摘除人工晶状体植入术的手术技巧及临床效果。方法:对2007-04/2008-12小切口白内障囊外摘除人工晶状体植入术312例312眼回顾性分析。结果:术后视力明显提高,≥0.05者307眼,脱盲率98.4%;≥0.3者285眼,脱残率91.3%。术中、术后并发症:后囊膜破裂4眼(1.3%);术后角膜水肿75眼(24.0%);虹膜损伤2眼(0.6%);术后暂时性高眼压5眼(1.6%);瞳孔轻度变形者6眼(1.9%);人工晶状体夹持2眼(0.6%);术后葡萄膜炎12眼(3.8%);人工晶状体未能一期植入者5眼(1.6%);1wk后角膜平均散光1.53±1.32,经处理未见严重并发症发生。结论:白内障小切口囊外摘除人工晶状体植入术,疗效显著、并发症少,安全易行,特别是对基层医院不失为防盲复明手术的首选术式。

AIM： To investigate the clinical effect of small incision extracapsular cataract extraction and intraocular lens implantation. METHODS： From the April 2007 to December 2008, 312 cases who underwent the small incision extracapsular cataract extraction and intraocular lens implantation analyzed retrospectively. RESULTS： Postoperative visual acuity increased signifi-cantly, ≥ 0.05 were in 307 cases, off blindness rate accounted for 98.4%; ≥ 0.3 were in 285 cases, and off disability rate accounted for 91.3%. Intraoperative and postoperative complications： posterior capsule rupture 4 eyes accounted for 1.3%; corneal edema 75 eyes account-ed for 24.0%; iris damage 2 eyes accounted for 06%; temporary high intraocular pressure 5 eyes accounted for 1.6%; pupil mild deformity 6 eyes accounted for 1.9%; intraocular lens gripping 2 eyes accounted for 0.6%; postoperative uveitis 12 eyes accounted for 3.8%; withnot artificial lens implanted 5 eyes accounted for 1.6%; The average corneal astigmatism was 1.53±1.32 in the posto-perative day 7, and no serious complications occurred. CONCLUSION： Small incision cataract extraction and intraocular lens implantation has a significant effect and fewer complications, and it is safety and easy surgery, especially in primary hospital for the prevention of blindness.