基层初学者在防盲手术车开展白内障手术的体会

Experience of carrying out phacoemulsification by primary beginners on blindness prevention surgery bus

目的 总结基层初学者在防盲手术车安全开展晶状体超声乳化术的体会.方法 从现代囊外白内障摘出术向超声乳化术转型阶段,在复明23号眼科流动手术车新疆喀什地区进行了晶状体超声乳化手术51例（51眼）.观察术中术后并发症及术后3d的最佳矫正视力.结果 术后3d最佳矫正视力≥0.5者27眼（52.2％）,0.2 ～0.4者18眼（35.2％）,≤0.1者3眼（5.9％）,失访3眼（5.90％）.术中发生后囊膜破裂伴玻璃体脱出2眼（3.9％）,虹膜损伤2眼（3.9％）,晶状体核坠入玻璃体1眼（0.2％）;术后角膜水肿19眼（37.3％）,无角膜失代偿者.结论 初学者应正确认识每个白内障疾病特点、掌握手术要点以及围手术期处理,顺利渡过转型期,获得理想的手术效果.发生并发症时,运用白内障小切口非超声乳化十分重要.

Objective To summarize the experience of safely carrying out phacoemulsification by primary beginners on the blindness preventing suygery bus.Methods During the transition stage from the modern extracapsular cataract extraction to phacoemulsification,51 cases of cataract received phacoemulsification in the FuMing 23 ophthalmic operating vehicle in Kashi area.The operative complications and the best corrected visual acuity of 3 days after operation were observed.Results At 3 days after operation the best corrected visual acuity was ≥ 0.5 in 27 eyes （52.2%）,0.2-0.4 in 18 eyes （35.2%） and ≤ 0.1 in 3 eyes （5.9%）.Posterior capsule rupture with vitreous prolapse occurred in 2 eyes （3.9%）,iris injury occurred in 2 eyes （3.9%） and lens nucleus falling into vitreous occurred in 1 eye （0.2%）.Postoperative corneal edema occurred in 19 eyes （37.3%） and no corneal decompensation happened.Conclusion The beginners should have correctly learn master the key points of operation and perioperative management to obtain the good opration results.It is important to use the small incision nonphacoemulsification when the complications occur.