基层医院白内障手术前检查的方法和要点

Methods and key-points of preoperative examination of cataract surgery in basic-level hospitals

目的:探索基层医院白内障手术前检查的方法和要点。方法:对当地医疗机构推荐手术的白内障患者425例进行复查。结果:在425例中,施行手术仅184例(43.3%);不宜手术病例低视力的主要病因如下:青光眼48例(11.3%);眼底病55例(12.9%);眼表疾病48例(11.3%);屈光不正90例(21.2%)。结论:基层医院白内障手术的适应症要慎重把握;准确把握晶状体混浊的程度与形态、眼底可见度及瞳孔对光反应灵敏度三者间的关系有助于手术的抉择和术后视力的预后。

AIM: To explore methods and key-points of pre-operative examination of cataract surgery in basic-level hospitals.· METHODS: A total of 425 cases of cataract recommended for cataract surgery by the local medical organization were reexamined.· RESULTS: There were only 184 cases (43.3%) operated on; the pathogenic factors for the poor visual acuity in the cases unsuitable for cataract surgery included: 48 cases (11.3%) of glaucoma;55 cases (12.9%) of fundal diseases; 48 cases (11.3%) of ocular surface diseases and 90 cases (21.2%) with ametropia.· CONCLUSIONS: Indications for cataract surgery in basic-level hospitals should be confirmed carefully. Surgical decision and prognosis can be made on a sounder basis if the relationship among grade and morphological characteristics of the lens opacity, degree of fundal clarity, and light reaction of the pupil is evaluated properly.·