超声乳化+人工晶体植入术治疗老年性白内障的效果及不同时间段散光程度的比较

Effect of phacoemulsification+intraocular lens implantation in the treatment of senile cataract and comparison of the degree of astigmatism at different times

目的探讨超声乳化+人工晶体植入术治疗老年性白内障的效果及不同时间段散光程度的比较。方法将我院收治的老年性白内障患者78例(92眼)根据入院序号奇偶数分为对照组(39例,46眼,行小切口非超声乳化囊外摘除术治疗)和观察组(39例,46眼,行超声乳化+人工晶体植入术)。对比两组患者的临床效果。结果观察组视力<0.1、0.1~0.3占比低于对照组,观察组视力>0.3~0.6、>0.6占比高于对照组(P<0.05)。术后1、3个月,两组患者眼压逐渐降低,且观察组低于对照组(P<0.05)。两组患者手术前、后角膜散光程度比较,差异不显著(P>0.05)。结论超声乳化+人工晶体植入术治疗老年性白内障效果显著,值得广泛推广。

Objective To investigate the effect of phacoemulsification intraocular lens implantation in the treatment of senile cataract and compare the degree of astigmatism at different times. Methods A total of 78 cases 92 eyes of elderly cataract patients admitted in our hospital were divided into control group 39 cases, 46 eyes, treated with small incision cataract extra capsular extraction and observation group 39 cases, 46 eyes, treated with phacoemulsification intraocular lens implantation according to the odd and even number of admissions. The clinical effects of the two groups were compared. Results The proportions of patients with visual acuity of 0.1 and 0.1-0.3 in the observation group were lower than those in the control group, and the proportions of patients with visual acuity of 0.3-0.6 and 0.6 were higher than those in the control group P 0.05 . At 1 and3 months after surgery, the intraocular pressure of the two groups gradually decreased, and those of the observation group were lower than the control group P 0.05 . There were no significant differences in corneal astigmatism between the two groups before and after surgery P 0.05 . Conclusion Phacoemulsification intraocular lens implantation in the treatment of senile cataracts has a significant effect, and it sworthy of widespread promotion.