小切口术式在扶贫免费治疗白内障患者中的应用

Application of small incision surgery in free treatment for poverty alleviation in patients with cataract

目的：研究小切口术式在扶贫免费治疗白内障患者中的应用。方法：选择2010-01/2013-12我院眼科进行扶贫免费治疗的高度近视白内障患者60例70眼作为研究对象。对患者进行心电图和胸部X线片等相应检查后,实施小切口术式联合人工晶状体植入,术后随访3mo,观察并对比患者术后视力和屈光度变化,并对相关并发症情况进行分析。结果：患者术后视力为手动/眼前-0.6;术后3mo视力优于术前者65眼（93%）,其中眼轴〈30mm组（25.87-29.41mm）55眼,眼轴≥30mm组（30.02-31.47mm）10眼;另有5眼视力较术前无明显变化。结论：小切口术式治疗白内障,简便易行,疗效较佳,且安全性高,更适合在白内障扶贫免费治疗工程中应用。

AIM： To study the application of small incision surgery in free treatment for poverty alleviation in patients with cataract.METHODS： Sixty patients（ 70 eyes） with high cataract with poverty free treatment from January 2010 to December 2013 in department of ophthalmology in our hospital were selected as study objects. electro cardio gram（ ECG） and chest X- ray examination were performed. The small incision combined with intraocular lens（ IOL） implantation operation was undergone. The patients were followed up for 3mo to observe and compare postoperative vision and diopter changes,and analyze the related complications.RESULTS： The best visual acuity was 0. 6,while the lowest vision for hand 3mo after the operation,a total of65 eyes（ 93%） vision was better than that before the operation： the eye axis less than 30mm（ 25. 87 ~29. 41mm） had 55 eyes,eye axis more than 30mm（ 30. 02 -31. 47mm） had 10 eyes; and 5 eyes whose visual acuity had no significant changes.CONCLUSION： The small incision cataract treatment is simple,better curative effect and high safety,it is more suitable for free treatment in poverty alleviation cataract application.