基层医院白内障手术转型的体会

Experience of cataract surgery transition in primary hospital

目的:探讨基层医院医师从白内障小切口非超声乳化手术成功转型到超声乳化手术的体会。方法:对2010-06/2011-06转型所做超声乳化联合人工晶状体植入术61例64眼的治疗结果及并发症进行分析。结果:患者60例63眼手术顺利,其中1例1眼后囊破裂且一期未植入人工晶状体。术后1wk,视力>0.3者32眼(50%),>0.5者30眼(47%),视力<0.1者2眼(3%)。术中主要并发症:后囊破裂5眼(8%)。术后主要并发症:角膜水肿19眼(30%)。结论:基层医院医师也可从白内障小切口非超声乳化手术顺利转型到超声乳化手术。

AIM：To discuss the successful experience of primary hospital doctors in surgery transition from small incision non-phacoemulsification cataract surgery to phacoemulsification·METHODS： The treatment result and complications of 61 cases（64 eyes） which underwent phacoemulsification and intraocular lens（IOL） implantation surgery from June 2010 to June 2011 during the author surgery transition period were analyzed·RESULTS：Totally 60 cases of 63 eyes were operated well.One case was of posterior capsule rupture with vitreous loss.Postoperative visual acuity of 32 eyes（50%） were better than 0.3 after a week.Postoperative visual acuity of 30 eyes（47%） were greater than 0.5 and 2 eyes（3%） were lower than 0.1.The main complications during operation：5 eyes（8%）were of posterior capsule rupture.The main Postoperative complications：19 eyes（30%） were of corneal edema·CONCLUSION：The primary hospital doctors are also able to transform smoothly from a small incision non-phacoemulsification cataract surgery to phacoemulsification 