超声乳化人工晶体植入术对老年白内障患者术后眼表恢复的影响

Effects of Phacoemulsification and Intraocular Lens Implantation on the Recovery of the Ocular Surface of Elderly Patients with Cataracts after Surgery

目的:研究超声乳化人工晶体植入术对老年白内障患者术后眼表恢复的影响。方法:选取2022年8月—2023年9月在江苏省人民医院眼科就诊的108例白内障患者作为研究对象,根据拟接受手术方式分为对照组与观察组,对照组接受小切口白内障摘除联合人工晶状体植入术,观察组接受白内障超声乳化吸除联合人工晶状体植入术,测定两组患者的术后24h眼压、角膜水肿和球结膜充血恢复时间、术后2月视力恢复情况、并发症,并进行分析对比。结果:与对照组相比,术后观察组眼压升高幅度小,差异有统计学意义(P<0.05);观察组的角膜水肿恢复时间、球结膜充血恢复时间少,差异有统计学意义(P<0.05);观察组术后视力恢复>0.5的人数比例为81.48%,视力恢复至0.3~0.5的人数比例为16.67%,视力恢复<0.3的人数比例为1.85%,对照组分别为74.07%、22.22%、3.70%,观察组术后视力恢复情况好于对照组,但两组差异无统计学意义(P>0.05);与对照组比较,观察组暂时性高眼压、前房出血、眼底出血、角膜炎、虹膜炎以及其他并发症的发生率低,差异无统计学意义(P>0.05)。结论:超声乳化人工晶体植入术对老年白内障患者术后眼表恢复具有积极影响,可以缩短恢复时间,降低并发症发生率。

Objective:To study the effects of phacoemulsification and intraocular lens implantation on the recovery of the ocular surface of elderly patients with cataracts after surgery.Method:A total of 108 cataract patients treated in the ophthalmology department of Jiangsu Provincial People's Hospital from August 2022 to September 2023 were selected as research objects and divided into control group and observation group according to the proposed surgery method.The control group received small-incision cataract extraction combined with intraocular lens implantation,and the observation group received cataract phacoemulsification combined with intraocular lens implantation.Intraocular pressure(IOP),recovery time of corneal edema and bulbar conjunctival congestion,visual acuity recovery 2 months after surgery of the two groups were compared.Result:Compared with the control group,the increase of IOP in the observation group was small,and the difference was statistically significant(P<0.05).The recovery time of corneal edema and bulbar conjunctival congestion were less in the observation group,and the difference was statistically significant(P<0.05).In the observation group,the proportion of people who recovered vision greater than 0.5 was 81.48%,the proportion of people whose visual acuity recovered to 0.3~0.5 was 16.67%,and the proportion of people whose visual acuity recovered to less than 0.3 was 1.85%.The recovery ratio was 74.07%,22.22%,3.70%in the control group,respectively.The visual acuity recovery in the observation group was better than that in the control group.There was no significant difference between the two groups(P>0.05).Compared with the control group,the incidence of temporary intraocular hypertension,anterior chamber hemorrhage,fundus hemorrhage,keratitis,iritis and other complications in observation group was lower,and the difference was not statistically significant(P>0.05).Conclusion:phacoemulsification intraocular lens implantation has a positive effect on ocular surface recovery in elderly cataract patients,which can shorten the recovery time and reduce complications.