改良小切口法治疗软核白内障的临床效果及安全性分析

Clinical effect and safety of modified small incision in the treatment of soft-cataract

目的:探讨改良手法小切口白内障手术治疗软核白内障患者的效果及安全性。方法:选取2015-01/2016-05在本院眼科中心接受手术治疗的软核白内障患者80例109眼,采用随机数字表法分为改良组(改良手法小切口白内障手术治疗)、传统组(传统手法小切口白内障手术治疗)各40例,对比两组患者治疗效果、并发症的发生率。结果:两组患者组间术前和术后1d,1wk,1mo的裸眼视力检测值差异无统计学意义(P>0.05);术后1d,1wk,1mo两组患者的裸眼视力与本组术前比较,均显著提高,差异有统计学意义(P<0.05)。两组患者组间术前和术后1d,1wk,1mo的眼压检测值比较,差异无统计学意义(P>0.05);术后1d,1wk,1mo两组患者的眼压与本组术前比较,均显著提高,差异有统计学意义(P<0.05);改良组的手术并发症率(9%,5/54)显著低于传统组(25%,14/55),差异有统计学意义(P<0.05)。结论:改良手法小切口白内障手术治疗软核白内障患者,效果可靠。

AIM： To investigate the effect and safety of modified small incision cataract surgery in patients with soft core cataract. METHODS： Totally 80 cases （109 eyes） of soft cataract patients who underwent surgical treatment from January 2015 to May 2016 in ophthalmology center of our hospital, using random number table method were divided into improved group （improved manipulation of small incision cataract surgery）, traditional group （traditional approach to small incision cataract surgery）, 40 cases in each group. Comparison of the two groups of treatment, the incidence of complications were taken. RESULTS： There were no significant differences on uncorrected visual acuity between the two groups before and at ld, lwk and lmo after operations （P〉0.05）. The uncorrected visual acuity of the two groups improved significantly at ld, lwk and 1too after operations compared with those before operations （P〈0.05）. There were no significant differences on intraocular pressure （lOP） between the two groups before and at ld, lwk and lmo after operations （P〉 0. 05）. The lOP of the two groups increased significantly at ld, lwk and lmo after operations compared with those before operations （P〈 0.05）. The complication rate was 9% （5/54） in the modified group, significantly lower than that in the conventional group 25% ~14/55） （P〈0.05）. CONCLUSION ： Improved small incision cataract surgery for soft cataract patients was with reliable results, less complications.