软壳技术在白内障超声乳化术中的应用效果

Application effect of soft shell technique in phacoemulsification of cataract

目的探讨软壳技术在白内障超声乳化术中的应用效果。方法选取营口爱尔眼科滨海医院2018年4～9月收治的30例(30眼)行白内障超声乳化术的患者,术中应用Duo Visc黏弹剂软壳技术保护角膜内皮。比较患者术前、术后的最佳视力、裸眼视力改善情况,角膜内皮细胞相关指标。结果患者术后的最佳视力矫正情况和裸眼视力改善情况均优于术前(P<0.05)。患者术后的细胞面积变异系数高于术前,六角形细胞低于术前,差异有统计学意义(P<0.05)。结论软壳技术可有效提高白内障超声乳化术患者的最佳视力和裸眼视力,且对其角膜内皮不会形成严重的损伤,值得临床借鉴实施。

Objective To investigate the application effect of soft shell technique in phacoemulsification of cataract. Methods All of 30 patients (30 eyes) who underwent phacoemulsification treated in Binhai Hospital of Yingkou Aier Ophthalmology from April to September 2018 were selected. Duo Visc viscoelastic agent soft shell technique was used to protect the corneal endothelium during the operation. The best visual acuity,naked visual acuity and corneal endothelial cell related indexes were compared before and after operation inpatients. Results The best visual acuity correction and naked eye vision improvement after operation were better than those before operation (P<0.05). The coefficient of variation of cell area after operation was higher than that before operation,and the hexagonal cells were lower than that before operation,and the differences were statistically significant (P<0.05). Conclusion Soft shell technique can effectively improve the best visual acuity and naked visual acuity of patients with cataract phacoemulsification,and it will not cause serious damage to corneal endothelium,which is worthy of clinical reference and implementation.