小切口无缝线白内障摘除加人工晶体植入术1730例临床疗效观察

Effect of sutureless small incision cataract surgery plus intraocular lens implantation on Africans with cataract:a report of 1 730 cases

目的探讨小切口无缝线白内障囊外摘除加人工晶体植入术治疗非洲黑人白内障的临床疗效。方法对1730例(2207眼)黑人白内障患者行小切口无缝线白内障囊外摘除及人工晶体植入术,评估疗效。结果术后1周视力≥0.5者占63.6%(1403眼),视力≥1.0者占5.1%(112眼),散光为(1.96±0.72)D。3个月后视力≥0.5者占94.9%(2094眼)。视力≥1.0(136眼)占6.2%,散光为(0.87±0.54)D。结论小切口无缝线白内障囊外摘除及人工晶体植入术损伤小、术后视力恢复好,在非洲地区有推广运用价值。

Objective To investigate the effect of sutureless small incision cataract surgery （SICS） plus intraocular lens （IOL） implantation for Africans with cataract.Methods Sutureless SICS plus IOL implantation was conducted on 1 730 African patients with cataract,a total of 2 207 eyes.The clinical effect was evaluated.Results One week after the surgery,1 403 eyes were found with vision ≥0.5 （63.6%）,and 112 were found with vision ≥1.0 （5.1%）,with astigmatism of （1.96±0.72） D.Three months after the surgery,2 094 eyes were found with vision ≥0.5 （94.9%）,and 136 were found with vision ≥1.0 （6.2%）,with astigmatism of （0.87±0.54） D.Conclusion Sutureless SICS plus IOL implantation leads to a smaller chance of injury and provides ideal vision recovery,which is worthy to be extended in African.