小切口非超声乳化白内障手术的临床疗效分析

Clinical effect analysis of small incision non-phacoemulsification cataract surgery

目的探讨小切口非超声乳化白内障手术的手术方法以及临床治疗效果。方法 80例(80眼)白内障患者,均行小切口非超声乳化白内障摘除联合人工晶体植入术治疗,观察患者视力恢复情况及并发症发生情况。结果 80例患者术后第2天视力>0.5为41例;术后1周视力>0.5为52例,术后1个月矫正视力≥0.5为71例,视力恢复良好。80例患者术后第2天41眼角膜出现不同程度的水肿,发生后囊破裂7眼,虹膜根部离断l眼,未植入人工晶体1眼,术后人工晶体夹持1眼。结论小切口非超声乳化白内障摘除联合人工晶体植入术治疗白内障效果良好,能有效地提高患者视力,是一种安全、有效的手术方法 ,应积极在基层医院推广应用。

Objective To discuss the surgical method and clinical effect of small incision nonphacoemulsification cataract surgery. Methods 80 cataract patients(80 involved eyes) were treated with small incision non-phacoemulsification cataract extraction combined with intraocular lens implantation, and the visual recovery and occurrence of complications of the patients were observed. Results Of 80 patients, 41 cases had visual acuity>0.541 on the 2 nd day after operation;52 cases had visual acuity>0.5 on the 1 st week after operation, and 71 cases had corrected visual acuity ≥0.5 on the 1 st month after operation, and the vision recovered well. On the 2 nd day after operation, 41 eyes of 80 patients had different degree of corneal edema, 7 eyes had posterior capsule rupture, 1 eye had iridodialysis, 1 eye had no intraocular lens implantation, and 1 eye had intraocular lens clamping. Conclusion Small incision non-phacoemulsification cataract extraction combined with intraocular lens implantation has a good effect on cataracts and can effectively improve patients’ vision. It is a safe and effective surgical method and should be actively promoted and applied in primary hospitals.