聚维酮碘在大规模白内障防盲手术中的应用

Application of povidone iodine to a large scale cataract surgery for blindness prevention

目的评价聚维酮碘在大规模白内障防盲手术中预防术后感染性眼内炎的有效性和安全性。方法四川省贫困白内障防盲手术患者862例(862眼),在术前使用50g/L聚维酮碘消毒眼周皮肤、睑缘和结膜囊,术中、术后观察眼部体征并询问患者主观不适。结果所有患者均无术后感染性眼内炎发生。23例患者有术中眼部刺激感,但无严重并发症。结论在大规模白内障防盲手术中使用50g/L聚维酮碘是一种有效、安全的预防术后感染性眼内炎的措施。

Objetive To evaluate the efficiency and the security of povidone iodine on the occurrence of endophthalmitis after a large scale cataract surgery for blindness prevention. Methods Impoverished patients with cataract in Siehuan Province（862 patients, 862 eyes） underwent routine small incision extracapsular cataract extraction and intraoeular lens implantation. 50g/L povidone iodine was used in the disinfection of skin around eye, palpebral margin and eonjunetival sac. All the operative eyes were observed during and after surgery. The patients＇ subjective discomfort was inquired and their signs of eyes were recorded both before and after surgery. Results There was no postoperative endophthalmitis in all the patients. Eye irritation wad observed in 23 patients during the surgery. There wash＇ t any severe complication. Conclusion Application of povidone iodine to a large scale cataract surgery for blindness prevention is an effective and safe measure to prevent postoperative endophthalmitis.