后房型有晶体眼人工晶状体植入术的护理

Nursing of posterior chamber phakic intraocular lens implantation

目的探讨有晶体眼人工晶体植入术矫正高度近视的术前、术中、术后的护理方法。方法对2011年1月1日—2013年10月1日的43例（86只眼）高度近视患者,行后房型有晶体眼人工晶体植入术,手术前后检测患眼的视力、眼压、屈光状态等,检眼镜观察眼底情况,裂隙灯观察角膜、瞳孔、透明晶状体以及术后人工晶体情况,对手术前后的护理过程、方法进行总结回顾。结果 86只眼均在表面麻醉下植入STAAR公司生产的人工晶体（ICL）,所有手术均由同一有丰富经验的术者完成,患者能密切配合手术,术前最佳矫正视力：0.4～1.0（0.69±0.27）,术后裸眼视力0.4～1.5（1.08±0.28）,术后裸眼视力均≥术前最佳矫正视力,所有患者对术后视力效果表示满意,并无严重并发症发生。结论术后密切观察术眼病情变化,并及时发现和正确处理术后的并发症,以及有效的心理护理和手术前后护理都有助于提高手术成功率。对有晶体眼人工晶体植入术治疗的患者进行有效的护理干预,可以有效地提高患者的视力矫正程度。

Objective To investigate the nursing methods of the surgery of posterior chamber phakic intraocular lens implantation for high myopia. Methods This study was included 86 eyes of 43 patients with high myopia,they all accepted posterior chamber phakic intraocular lens implantation,and postoperative follow-up was made,and the nursing methods before and after surgery was reviewed. Results All patients accepted posterior chamber phakic intraocular lens implantation in close cooperation. The surgeries were performed smoothly under superficial anesthesia. After surgery,the naked vision≥the optimal corrected vision of preoperation. They all obtained satisfied results,and no severe complications occurred.Conclusion The mental nursing before surgery was the precondition of the successful operation,and some methods were important to the surgery such as to observe the patient＇s condition closely after surgery,to discover the complications in time and to deal with them correctly.