表面麻醉在白内障手术中的应用

Cataract surgery with topical anesthesia.

目的 探讨表面麻醉应用在白内障摘出人工晶状体植入术的安全性和效果。方法 对142例(142眼)采用表面麻醉行现代白内障囊外摘出人工晶状体植入术的病例,观察手术效果和并发症。结果 本组患者均能很好地配合手术,大多数病例手术于8～14分钟内顺利完成。术后1天及3天矫正视力≥0.5者分别占83.80%和94.37%。术中未发生由麻醉引起的并发症。结论 表面麻醉适用于白内障囊外摘出人工晶状体植入手术,不仅避免了球后或球周麻醉的诸多并发症,而且使手术变的更加简单安全。

Objective To investigate the safety and effect of topical anesthesia in cataract extraction and intraocular lens (IOL) implantation. Methods 142 cases (142 eyes) who received modern extracapsular cataract extraction and IOL implantation on topical anesthesia were observed, the surgical effect and complications were recorded. Results Most of the patients could cooperate during surgery and the operations were finished between 8-14 min. 1 and 3 days after surgery, the corrected vision were equal or better than 0.5 in 83.80% and 94.37% patients respectively. Conclusion Topical anesthesia is adapt to extracapsular cataract extraction and IOL implantation, it is not only avoids the complications resulted from retrobublar or periocular anesthesia, but also makes the surgery more simple and safe.