独眼白内障超声乳化人工晶状体植入术的临床观察

Effect of phacoemulification on unique eye cataract

目的:探讨独眼白内障患者超声乳化吸出及人工晶状体植入手术的效果。方法:对44例独眼白内障患者行超声乳化吸出及人工晶状体植入手术治疗。观察术后3mo术眼的视力;观察术中、术后并发症发生情况。随访3～12(平均4.2)mo。结果:术后视力均有不同程度提高,术后3mo视力<0.1者2例(4.5%),0.1～0.25者8例(18.2%),0.3～0.5者18例(40.9%),0.6～1.0者16例(36.4%)。脱残率77.3%,脱盲率95.5%。术中并发症:虹膜咬伤1例,前房少量出血1例,切口处虹膜脱出1例。术中并发症的发生率为6.8%。术后并发症:早期角膜水肿5例(11.4%),虹膜睫状体炎2例,术后早期眼压升高1例,术后1d前房积血1例,后囊膜混浊2例。无眼内炎及视网膜脱离等严重并发症。结论:对于独眼白内障患者,只要采取认真负责的态度,充分做好各种准备,超声乳化吸出加人工晶状体植入手术是安全和有效的,但对术者的技术及心理素质要求较高。

AIM：To investigate the effect of phacoemulification on unique eye cataract. METHODS： Forty-four patients with unique eye cataract underwent phacoemulsification. The preoperative visual acuity （VA） and postoperative VA were recorded. Intraoperative and postoperative complications were observed. Following up time was form 3 to 12 months. RESULTS： Postoperative VA raised at different degrees： corrected VA 〈 0.1 in 2 eye（4.5% ）, 0.1-0.25 in 8 eyes（18. 2%）,0.3-0.5 in 18 eyes（40.9%） and 0.6-1.0 in 16 eyes （36.4%）. The best-corrected VA better than 0.3 accounted for 77.3% ,and the rate of VA larger than 0.05 was 95.5%. After operation, corneal endothelial edema were in 5 eyes （ 11.4% ）, and after cataract in 2 eyes（4.5% ） CONCLUSION： Eye condition of unique eye cataract patients is changeable. Individual operation plan should be settled according to specific circumstance. Phacoemulsification and intraocular lens implantation is safe and effective for unique eye cataract.