80岁以上白内障患者门诊手术安全性的评价

Evaluation on the safety of cataract operation in outpatients over 80 years old

目的 探讨 80岁以上老年人白内障门诊行超声乳化人工晶体植入术的安全性及临床效果。 方法 对 184例 (2 2 6眼 ) 80岁以上老年白内障门诊患者行超声乳化人工晶体植入术 ,观察其安全性、术中、术后并发症及视力恢复等。 结果 2 2 6眼均安全地在门诊实行手术 ,术中无严重全身并发症发生。术后 3个月 198眼 (87 6 % )视力 >0 5 ,10 2眼 (45 1% ) >1 0 ,主要并发症为角膜水肿 5 8眼 (2 6 2 % ) ,后囊破裂 12眼 (5 3% ) ,后囊混浊 16眼 (7 1% )。 结论 80岁以上老年白内障患者门诊行超声乳化人工晶体植入术是安全有效的 ,关键是术前认真进行眼部及全身状况检查 ,并作全身疾病的相应处理 ,手术中减少刺激并尽量减少术后并发症。

Objective To evaluate the clinical safety for outpatients over 80 years old after phacoemul sification surgery. Methods The 184 cases (226 eyes) of aged patients with cataracts were operated on with phacoemulsification and IOL implantation. The safety, complications during and after operation, visual recovery and others were followed up over that period. Results All eyes were operated on without any danger and no serious complications were found. The vision acuity was 0 5 or better in 198 cases (87 6%), 1 0 or better in 102 eyes (45 1%). The main complication was corneal edema in 58 eyes(26 2%), rupture of posterior capsule in 12 eyes (5 3%) and posterior capsular opacity in 16 eyes (7 1%). Conclusions The phacoemulsification and IOL for over 80 years outpatients were safe and effective. The key points are systemic physical examination and careful eye examination. Stimulations during operation and postoperative complications should be prevented.