80岁及以上患者老年性白內障超声乳化的疗效及安全性

Efficacy and safety evaluation of phacoemulsification in advanced- and middle-aged senile cataract

目的 探讨 80岁及以上患者老年性白内障超声乳化吸除及人工晶状体植入术的疗效及安全性。 方法 将 95例 (10 0只眼 ) 80～ 96岁的老年性白内障患者定为高龄老年组 ,经角膜缘隧道切口进行超声乳化吸除及人工晶状体植入术 ,同期收治 6 6 5例 (6 71眼 ) 6 0～ 79岁老年性白内障患者定为低龄老年组 ,使用相同的手术方法作对照。 结果 高龄老年组术后第 1天、1周和 1个月视力达到或超过 0 5者分别是 30只眼、5 2只眼、74只眼。两组患者术后随访时间 3个月～ 3年 ,随访时的视力达到 0 5以上高龄老年组患者 82只眼 (82 0 % ) ,低龄老年组 5 83只眼 (86 9% )。并发症主要有后囊膜破裂、玻璃体脱出、晶状体核碎块脱位、角膜水肿、后囊膜混浊。 结论 高龄与低龄老年性白内障经超声乳化吸除及人工晶状体植入术均有较好的疗效及安全性。

Objective To investigate the effect and safety of phacoemulsification and intraocular lens implantation in advanced and middle aged senile patients. Methods Ninety five patients (80 96 years old, 100 eyes) with senile cataract were included in advanced aged group. Another 665 patients (60 79 years old, 671 eyes) with senile cataract were included in middle aged group. All patients were performed with phacoemulsification and intraocular lens implantation through a corneal limbus tunnel incision. Results Visual acuity for the advanced aged group at 1 day, one week and one month after operation was 0 5 or better in 30 eyes, 52 eyes and 74 eyes, respectively. Both groups were followed up from 3 to 36 months after operation. The visual acuity of 0 5 or better were followed up in 82 eyes (82 0%) in the advanced aged group and in 583 eyes (86 9%) in the middle aged group. The postoperative complications included tears of posterior capsule, detached vitreous, subluxation of lens, corneal edema, and muddy posterior capsule. Conclusions Phacoemulsification and intraocular lens implantation is effective and safety for both advanced and middle aged patients with senile cataract.