表面麻醉小切口非超声乳化白内障摘除术400例临床分析

Topical anesthesia for small incision phacoemulsification cataract surgery clinical analysis of 400 cases

目的观察表面麻醉小切口非超声乳化白内障摘除术的临床效果。方法对400例符合手术要求的白内障患者行表面麻醉小切口非超声乳化白内障摘除联合人工晶状体植入,观察其术后视力恢复及并发症情况。结果术后1天,裸眼视力<0.05者30眼,占7.5%;0.05～0.3者124眼,占31%;≥0.3者246眼,占61.5%;术后1周复查视力,<0.05者16眼,占4%;0.05～0.3者60眼,占15%;≥0.3者324眼,占81%;术中及术后各种并发症的发生率均很低。结论表面麻醉下行小切口非超声乳化白内障摘除联合人工晶状体植入术麻醉效果良好,能最大限度减少并发症,视力恢复快,患者易接受;适宜于我国大规模复明行动及基层医院开展的以白内障为主的防盲治盲工作。

Objective To observe surface anesthesia for small incision phacoemulsification cataract surgery clinical effects.Methods Of 400 cases met the requirements of cataract surgery in patients with topical anesthesia for small incision phacoemulsification cataract extraction and intraocular lens implantation,to observe the recovery of visual acuity and complications.Results After 1d,uncorrected visual acuity was 〈0.05 in 30,7.5%;0.05 to 0.3 in 124,accounting for 31%;≥0.3 were 246,61.5%;after 1wk review vision,〈0.05 in 16,accounting for 4%;0.05 to 0.3 in 60,accounting for 15%;≥0.3 were 324,81%;intraoperative and postoperative complication rate is very low.Conclusion Surface anesthesia for small incision phacoemulsification cataract extraction and intraocular lens implantation anesthesia well,to minimize complications,faster visual recovery,patients tend to accept;suitable for large-scale Fuming of China’s action and the primary hospital for cataract to Lord of the prevention of blindness.