小切口非超声乳化白内障手术临床分析

Clinical 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对白内障患者的应用效果。方法选取82例(82眼)白内障患者作为研究对象,所有患者均进行小切口非超声乳化白内障手术。观察患者伤口愈合情况、术后视力情况、并发症发生情况。结果82例(82眼)患者术后视力有显著提高,术后1个月最佳视力0.5~1.0为58例(58眼)、占70.7%;最佳视力0.3~0.5为21例(21眼)、占25.6%;脱残率达到100.0%。伤口一期愈合,术后所有患者前房形成好。术后7 d内出现虹膜睫状体炎2例,角膜水肿19例,一过性高眼压3例,前房出血2例,未发生严重并发症,保守治疗后均恢复正常。结论小切口非超声乳化白内障手术能够有效提高白内障患者的视力,适应证广,疗效显著,是一种安全、有效的治疗白内障的手术方式,适合基层医院开展。

Objective To discuss the effect of small-incision non-phacoemulsification cataract surgery.Methods There were 82 cataract patients(82 involved eyes)selected as the research subjects,and all patients underwent small-incision non-phacoemulsification cataract surgery.The wound healing,visual acuity after surgery and occurrence of complications were observed.Results 82 cases(82 involved eyes)had a significant improvement in postoperative visual acuity.The best visual acuity was 0.5-1.0 in 58 cases(58 eyes),accounting for 70.7%;the best visual acuity was 0.3-0.5 in 21 cases(21 eyes),accounting for 25.6%;the rate out of disability reached 100.0%.All patients were primary wound healing,and the anterior chamber of all patients was well formed.There were 2 cases of iridocyclitis,19 cases of corneal edema,3 cases of transient high intraocular pressure and 2 cases of anterior chamber hemorrhage within 7 d after surgery.All of them recovered to normal after conservative treatment.Conclusion Small-incision non-phacoemulsification cataract surgery shows remarkable efficacy for patients with cataract,and it can effectively improve the visual acuity with wide indications.It is a safe and effective surgical method for cataract treatment and is suitable for primary hospitals.