摘要
怎样才能使并发心血管病的老年性白内障患者既能得到视力改善,又能安全度过手术期,对眼科工作者这是一个新的课题,有关处理方法国内外报道尚少。笔者等特将1986～1989年,在心电监护下为21例(26眼)这类患者行白内障囊外摘除及人工晶体植入术的处理经验介绍如下:对象和方法一、一般概况:老年性白内障21例,26眼,男15例,女6例,右眼13,左眼13。患者平均年龄71岁(57～88)。均为白内障囊外摘除及Ⅰ期人工晶体植入术。二、心血管病的分类:1.冠心病:12例。其中稳定型心绞痛和陈旧性心肌梗塞各6例。并发心律失常7例,高血压病2例,窦性心动过缓4例。2.高血压病:6例,均属Ⅰ～Ⅱ期,合并心肌缺血及心律失常1例。
The authors reported the outcome of extracapsular cataract extr-action (ECCE) and posterior chamber lens implantation in 26 eyes of21 aged patients with senile cataracts and angiocardiopathy.Theaverage age was 71 years(57—88).They were all operated undcr electr-ocardiographic monitor,90.9% eyes achieved a corrected visual acuityof 20/40 or better.None of them developed any accident during oper-ation.The results suggest that for those indicated patients,if care-fully controlling the blood pressure,improving myocardial ischemia,correcting arrhythmia preoperatively and intensive care under electr-ocardiographic monitor during operation,ECCE and lens implantationcould be successfully performed in aged patients with angiocardiopa-thy.
