小切口白内障摘除术的临床疗效观察

Clinical Effects Observation of Small Incision Cataract Surgery

目的观察小切口白内障摘除术在治疗白内障的临床疗效。方法选取2009年至2010年来我院诊治白内障的67例患者共105眼,进行小切口白内障摘除术,其中外伤性白内障7例10眼,老年性白内障49例75眼,并发性白内障6例11眼,先天性白内障5例9眼,并观察术后患眼的视力矫正情况及并发症的发生。结果本组报告的67例患者105眼,术后视力恢复在0.05～0.29共6眼,在0.30～0.49共35眼,在0.50～0.79共46眼,在0.80～1.00共18眼,复明效果较满意。术中有3眼发生小裂孔,发生率为2.9%。术后有3眼发生切口闭合不良,发生率为2.9%;有27眼发生角膜水肿,发生率为25.7%;有19眼发生虹膜炎性反应,发生率为18.1%。术后未发生眼内大出血,眼内感染等严重并发症。结论小切口白内障摘除术,手术切口小,手术操作简便,术后恢复快,是适合各级医院开展的白内障手术方式。

Objective To observe the small incision cataract surgery clinical efficacy in the treatment of cataract. Methods 2009-2010 cataract diagnosis and treatment of our hospital a total of 105 eyes in 67 patients, small-incision cataract surgery, including 7 cases of traumatic cataract in 10 eyes in 49 patients with senile cataract 75, 6 cases of complicated cataract in 11 eyes, 5 cases of congenital cataract in 9 eyes, and observe the patients eye vision correction surgery and complications from occ^krring. Results The report of 105 eyes of 67 patients, postoperative visual acuity in the 0.05-0.29 6 eyes, 35 eyes were in the 0.30-0.49, 0.50-0.79 46 in the eye, a total of 18 eyes in the 0.80-1.00, Fuming effect satisfied. Occurred in three patients a small hole, the rate was 2.9%. Postoperative wound closure occurred in 3 eyes bad, the rate was 2.9%; with 27 corneal edema, the rate was 25.7%; a 19 iris inflammation occurs, the rate was 18.1%, Postoperative bleeding did not occur within the eye, eye infection and other serious complications. Conclusion Small incision cataract surgery, small incision, the operation is simple, rapid recovery, is suitable for all levels of the hospital to carry out cataract surgery.