655例白内障超声乳化联合人工晶状体植入术的临床观察

Clinical observation of senile cataract phacoemulsification combined with intraocular lens (IOL) implantation in 655 cases

目的探讨超声乳化联合人工晶状体植入术对老年性白内障患者的手术治疗效果。方法对655例(655眼)老年性白内障患者行白内障超声乳化联合人工晶体植入术,观察术后裸眼视力恢复情况及术后并发症。结果患者术后1d裸眼视力≥0.5者256眼占39.08%,术后3天复查裸眼视力≥0.5者419眼占63.97%。655例患者裸眼视力均有不同程度提高,手术后主要并发症为角膜水肿,无其他严重并发症。结论超声乳化联合人工晶体植入术是治疗老年性白内障的有效手术方法,疗效确切,手术中规范操作可减少术后并发症的发生。

Objetive To observe effects of phacoemulsification and intraocular lens （ IOL ） implantation in elderly patients with cataract. Methods 655 cases （ 655 eyes ） with senile cataract were performed with cataract phacoemulsification and intraocular lens （ IOL ） implantation, PostoperatiVe visual acuity and complication were observed and recorded. Results One day after the surgery, the vision acuity was 0.5 or better in 256 eyes（39.08%）;3 days after surgery, the vision acuity was 0.5 or better in 419 eyes（63.57%）.655 patients visual acuity were improved in different degrees. The main postoperative complication was corneal edema, No other serious complications occurred.Conclusion Phacoemulsification and intraocular lens （ IOL ） implantation is the effective surgical method in the treatment of senile cataract, standardized operation technique can reduce postoperative complications.