援非小切口手术治疗黑人白内障287例报告

Analysis of small incision cataract extraction in 287 black cataract patients during aiding Africa

目的:观察在援非期间对287例黑人白内障实施小切口手术的临床效果。方法:在非洲简陋的条件下对287例287眼黑人白内障实施巩膜隧道小切口非超乳白内障摘除术,植入硬质型人工晶状体,观察各类白内障术后裸眼视力及并发症。结果:一次性植入人工晶状体275例275眼,术后1wk裸眼视力≥0.3者240眼(83.6%),≥0.5者166眼(57.8%);角膜水肿53眼(18.5%),后囊膜破裂5眼(1.7%),前房反应38眼(13.2%)。结论:在非洲对于大规模黑人白内障选择小切口白内障摘除及人工晶状体植入手术,疗效可靠。

AIM：To investigate the clinical effect of small incision cataract extraction and intraocular lens implantation in 287 black cataract patients during the China-aided project in Africa.METHODS：Totally 287 eyes of 287 cases with senile cataract were treated with scleral tunnel incision extracapsular cataract extraction,and posterior chamber intraocular lens implantation.Postoperative visual acuity and complications were observed.RESULTS：Intraocular lens was implanted in 275 eyes under quite limited medical facilities in Africa.Postoperative vision increased significantly after a week.The postoperative vision was ≥0.3 in 240 eyes（83.6%）,≥0.5 in 166 eyes（57.8%）,corneal edema was in 53 eyes（18.5%）;posterior capsule rupture was in 5 eyes（1.7%）;anterior chamber inflammation was in 38 eyes（13.2%）.CONCLUSION：Small incision cataract extraction combined with intraocular lens plantation has significant effect in a large scale of black cataract patients in Africa.