白内障超声乳化摘除人工晶体植入术的并发症及处理

Complications of Cataract Ultraemulsified Artificial Lens Implantation and Their Management

目的 总结基层医院行白内障超声乳化人工晶体植入术的并发症及处理。方法 对 6 81例 70 0眼白内障超声乳化人工晶体植入术的术中 ,术后并发症进行临床观察。结果 晶体后囊破裂 32眼 (4 5 7% ) ,角膜水肿 480眼(6 8 5 7% ) ,虹膜咬伤 15眼 (2 14% ) ,术后迟发性葡萄膜炎 18眼 (2 5 7% ) ,术后人工晶体脱位 6眼 (0 86 % ) ,切口漏水 2眼 (0 2 9% )。结论 基层医院行白内障超声乳化人工晶体植入术的并发症均不会明显影响视力 ,也无严重的不良后果。

Objective To summarize the complications of cataract ultraemulsified artificial lens implantation and their management. Method The complicationsof 681 cases with 700 eyes were observed clinically after the operation of cataract ultraemulsified artificial lens implantation. Result 32 eyes(4.57%)had rupture of posterior lens capsules, 480 eyes(68.5%)had corneal edema, 15 eyes(2.14%)had bite wound of iris, 18 eyes(2.57%)had postoperative late uveitis, 6 eyes(0.86%)had artificial lens dislocation, 2 eyes(0.29%)had transudate of incisional wound.Conclusion The complications of cataract ultraemulsified artificial len implantation can not affect the visual accity obviously and have no severe consequences.