Analysis of Ultrasonic Emulsification Surgery and Small Incision Cataract Extracapsular Extraction Surgery for Cataract Clinical Treatment Level Improvement

Objective:To analyze the efficacy of ultrasonic emulsification and small incision cataract extracapsular extraction in cataract patients.Methods:96 cataract patients admitted from May 2021 to May 2023 were selected and randomly grouped into group A(ultrasonic emulsification)and group B(small-incision extracapsular cataract extraction),with 48 cases each.Results:At 1 week,1-month,and 3 months post-operation,the visual acuity of group A was higher and the astigmatism value was lower than that of group B(P<0.05);at 12h,24h,and 48h post-operation,the intraocular pressure of group A was higher than that of group B(P<0.05);the thickness of macular area of group A was lower than that of group B at 1 week and 1-month post-operation(P<0.05).Conclusion:Ultrasonic emulsification in cataract patients was slightly better than small incision cataract extracapsular extraction in correcting astigmatism,improving visual acuity,and regulating macular thickness.However,due to the high energy of ultrasonic emulsification,the risk of complications such as high postoperative intraocular pressure was higher.Small-incision extracapsular cataract extraction has better application value in economically disadvantaged areas.

Cataract surgery in aged patients:phacoemul-sification or small-incision extracapsular cataract surgery

AIM: To evaluate the effects and safety of phacoemulsification (Phaco) or small-incision extracapsular cataract surgery (SICS) and intraocular lens (IOL) implantation for aged patients. METHODS: Totally 137 aged patients (149 eyes) underwent cataract operation in the case of stable systemic condition, the blood pressure less than 160/95mmHg, blood glucose less than 8mmol/L, and under the help of electrocardiogram surveillance by anesthesiologists during the operation. 106 aged patients (114 eyes) underwent Phaco while 31 aged patients (35 eyes) underwent SICS. The postoperative visual acuity, corneal endothelial cell loss, surgery time and major complications were observed and analyzed retrospectively. RESULTS: The best-corrected visual acuity (BCVA) of >= 0.6 was achieved in 135 eyes (92.6%) at 1 month postoperatively (chi(2)=259.730, P<0.001). For aged patients, both Phaco and SICS could significantly improve visual acuity with no significant difference (chi(2)=4.535, P > 0.05). Postoperative corneal endothelial cell loss was 18.6%, in PHACO group, the rate was 18.5%; in SICS group, the rate was 19.0%, the difference of which was no significant (chi(2)=0.102, P>0.05). The surgery time was different in two groups. No severe complications occurred. CONCLUSION: Both Phaco and SICS combined with IOL implantation for aged patients are effective and safe. Before surgery, detailed physical examination should be performed. When the systemic condition is stable, cataract surgery for aged patients is safe.

Comparison of surgically induced astigmatism in various incisions in manual small incision cataract surgery

AIMTo determine the surgically induced astigmatism (SIA) in Straight, Frown and Inverted V shape (Chevron) incisions in manual small incision cataract surgery (SICS).

Outcomes after combined excisional goniotomy and manual small incision cataract surgery

AIM: To report the long-term outcomes of combined excisional goniotomy and manual small incision cataract surgery(MSICS).METHODS: This is a retrospective case series of patients with open angle glaucoma and visually significant cataracts that underwent combined excisional goniotomy and MSICS with one-year follow-up. The medical history, demographic information, and clinical characteristics of each case were recorded. Data regarding changes in vision, intraocular pressure(IOP), the number of glaucoma medications, and the evolution of the disease after surgery were reported. RESULTS: Three patients, with open angle glaucoma and cataracts underwent combined excisional goniotomy and MSICS without adverse events. All patients had improvement in vision compared to baseline measurements. The range of IOP at baseline was from 14 to 18 mm Hg and decrease to a range of 10 to 14 mm Hg after one year of follow-up. Additionally, two patients also decreased their dependence on IOP-lowering medications at the last follow up visit with one patient maintaining baseline level of medication use.CONCLUSION: A combination of excisional goniotomy and MSICS illustrates both the safety and efficacy to treat patients with visually significant cataract and glaucoma. This procedure allows for a more cost-effective surgical approach that matches the needs of resource strained territories around the globe.

A reasonable option in vitrectomized eyes: manual small incision cataract surgery

Dear Sir,It is known that cataract surgery is challenging in vitrectomized eyes.Cataract surgeons may have encountered with posterior capsular complications and nucleus drop events even with minimal ocular manipulations and low irrigation bottle height.Inadvertent damage to the zonular fibers,posterior or peripheral lens capsule with ocutome or microvitreoretinal(MVR)blade in previous

Phacoemulsification versus small incision cataract surgery in patients with uveitis

AIMTo compare the safety and efficacy of phacoemulsification and small incision cataract surgery (SICS) in patients with uveitic cataract.METHODSIn a prospective, randomized multi-centric study, consecutive patients with uveitic cataract were randomized to receive phacoemulsification or manual SICS by either of two surgeons well versed with both the techniques. A minimum inflammation free period of 3mo (defined as less than 5 cells per high power field in anterior chamber) was a pre-requisite for eligibility for surgery. Superior scleral tunnel incisions were used for both techniques. Improvement in visual acuity post-operatively was the primary outcome measure and the rate of post-operative complications and surgical time were secondary outcome measures, respectively. Means of groups were compared using t-tests. One way analysis of variance (ANOVA) was used when there were more than two groups. Chi-square tests were used for proportions. Kaplan Meyer survival analysis was done and means for survival time was estimated at 95% confidence interval (CI). A P value of &#x0003c;0.05 was considered statistically significant.RESULTSOne hundred and twenty-six of 139 patients (90.6%) completed the 6-month follow-up. Seven patients were lost in follow up and another six excluded due to either follow-up less than six months (n=1) or inability implant an intraocular lens (IOL) because of insufficient capsular support following posterior capsule rupture (n=5). There was significant improvement in vision after both the procedures (paired t-test; P&#x0003c;0.001). On first postoperative day, uncorrected distance visual acuity (UDVA) was 20/63 or better in 31 (47%) patients in Phaco group and 26 (43.3%) patients in SICS group (P=0.384). The mean surgically induced astigmatism (SIA) was 0.86&#x000b1;0.34 dioptres (D) in the phacoemulsification group and 1.16&#x000b1;0.28 D in SICS group. The difference between the groups was significant (t-test, P=0.002). At 6mo, corrected distance visual acuity (CDVA) was 20/60 or better in 60 (90.9%) patients in Phaco group and 53 (88.3%) in the manual SICS group (P=0.478). The mean surgical time was significantly shorter in the manual SICS group (10.8&#x000b1;2.9 versus 13.2&#x000b1;2.6min) (P&#x0003c;0.001). Oral prednisolone, 1 mg/kg body weight was given 7d prior to surgery, continued post-operatively and tapered according to the inflammatory response over 4-6wk in patients with previously documented macular edema, recurrent uveitis, chronic anterior uveitis and intermediate uveitis. Rate of complications like macular edema (Chi-square, P=0.459), persistent uveitis (Chi-square, P=0.289) and posterior capsule opacification (Chi-square, P=0.474) were comparable between both the groups.CONCLUSIONManual SICS and phacoemulsification do not differ significantly in complication rates and final CDVA outcomes. However, manual SICS is significantly faster. It may be the preferred technique in settings where surgical volume is high and access to phacoemulsification is limited, such as in eye camps. It may also be the appropriate technique for uveitic cataract under such circumstances.

Incision Site in Manual Small Incision Cataract Surgery in Case of Preoperative Direct Astigmatism

We compared surgically induced astigmatism (SIA) by a superior incision with a temporal incision in manual small incision cataract surgery (MSICS), in patients with bilateral direct (regular) preoperative corneal astigmatisms. Patients and method: We carried out a prospective study from July 1st 2018 to September 30th 2019 in the department of ophthalmology at the University Hospital of Brazzaville. Keratometric readings were recorded before surgery to assess preoperative corneal astigmatisms. Keratometric evaluation was done 45 days post-operatively. Patients were followed 90 days after surgery in order to assess the healing of the surgical site. The surgically induced astigmatism (SIA) is the difference in the magnitude vectors between the preoperative and postoperative astigmatism. The result was positive if the postoperative astigmatism was greater than the preoperative astigmatism and negative if the postoperative astigmatism was less than the preoperative astigmatism. Results: Our study sample included 48 eyes from 24 patients, including 24 operated on temporal incision and 24 in superior incision. The average SIA for superior incisions was 0.33 ± 1.55 diopters (D), versus 0.33 ± 1.44 for temporal incisions. For superior incisions the SIA was 0.81 for astigmatisms lower than 2D, against 0.16D for the temporal incisions. On the other hand, for preoperative astigmatisms greater than 2D, the surgically induced astigmatism was &plusmn;0.62D, marking a decrease in preoperative astigmatism for the superior incisions against an increase of 0.5D for the temporal incisions. The healing was delayed for the temporal incisions responsible for discomfort persisting beyond 45 days. Conclusion: The temporal incision had better results than the superior incision for astigmatisms lower than 2D, and less good for astigmatisms higher than 2D. The temporal incision healed less well.

Astigmatism following Small Incision Cataract Extraction through Superotemporal Incision

Purpose:.To investigate the occurrence of corneal incision-induced astigmatism following small incision extracapsular cataract extraction through a superotemporal incision combined with intraocular lens (IOL) implantation. Methods:.A total of 255 cases (301 eyes) who received small incision extracapsular cataract extraction through a superotemporal incision with IOL implantation in the Department of Ophthalmology, Yuyan District Hospital of Guiyang were enrolled in this clinical trial..Postoperative best-corrected visual acuity and astigmatism were measured. The patients underwent 24-week follow-up. Results: In total, 166 patients (65.1%, 166 eyes) completed follow-up..Astigmatism gradually declined between 1 and 12-week postoperatively, and stabilized after 12 weeks. Among 166 patients,.125(75.3%).had astigmatism > 0.5 D at 24 weeks post-operatively,.showing mostly with-the-rule astigmatism. Visual acuity steadily improved up to 12 weeks, and tended to stabilize subsequently..Over the period of 24-week postoperatively,.visual acuity was negatively correlated with astigmatism (r=-0.691,P<0.05). Conclusion:Superotemporal small incision extracapsular extraction combined with IOL implantation is associated with modest astigmatism which declines over the post-operative period.

Visual outcome of manual small-incision cataract surgery:comparison of modified Blumenthal and Ruit techniques

AIM:To compare the efficacy and visual results of the modified Blumenthal and Ruit techniques for manual small-incision cataract surgery(MSICS).· METHODS:This was a prospective,non-randomized comparison of 129 patients with senile cataracts scheduled to undergo routine cataract surgery via either a superior scleral tunnel incision,i.e.,the Blumenthal technique(group 1,n = 64) or a temporal scleral tunnel incision,i.e.,the Ruit technique(group 2,n =65).MSICS and intraocular lens implantation were performed through an unsutured 6.5-to 7.0-mm scleral tunnel incision.Uncorrected and corrected visual acuity,intraoperative and postoperative complications,and surgically induced astigmatism calculated by simple subtraction were compared.Patients were examined at 1 day,1 week,1 month,and 3 months after surgery.· RESULTS:Both groups achieved good visual outcome with minor complications.Three months after surgery,the corrected visual acuity was 0.73 in the Blumenthal group and 0.69 in the Ruit group(P =0.29).The average(SD) postoperative astigmatism was 0.87(0.62) diopter(D) for the Blumenthal group and 0.86(0.62) D for the Ruit group.The mean(SD) surgically induced astigmatism was 0.55(0.45) D and 0.50(0.44) D for the Blumenthal and Ruit groups,respectively(P =0.52).Common complications were minimal hyphema and corneal edema.There was no statistically significant difference in the complication rate between the groups(P >0.05).· CONCLUSION:In MSICS,both the Blumenthal and Ruit techniques achieved good visual outcomes,with low complication rates.

The early change of corneal vertical coma and trefoil in 2.8-mm superior incision cataract surgery

Background: To investigate early change of corneal aberrations after 2.8-mm superior incision phacoemulsification.Methods: This study comprised 80 eyes of 75 patients. All the patients underwent phacoemulsification with monofocal foldable intraocular lens(IOLs) implanted through a 2.8-mm superior corneal incision. The anterior corneal wavefront aberrations for the 6.0-mm pupillary diameter was measured by i Trace wavefront aberrometer(Tracey Technologies, Inc.) preoperatively and 1 month postoperatively. Changes of root mean square(RMS) values of Z(3,-3), Z(3, 3), Z(3,-1), Z(3, 1), and Z(4, 0) and total high order aberration(HOA) were evaluated.Results: The uncorrected and corrected visual acuities improve significantly(P<0.001). No significant postoperative changes were observed in spherical aberration(P=0.652). Significant changes in vertical coma and vertical trefoil(0.005±0.214 vs.-0.049±0.242, P=0.037;-0.141±0.222 vs.-0.258±0.359, P=0.001; separately). However, the total HOAs increased after cataract surgery(0.567±0.161 vs. 0.688±0.343, P<0.001).Conclusions: Corneal vertical coma and vertical trefoil changes significantly in 2.8mm superior corneal incision phacoemulsification cataract surgery. In addition, those had a trend to negative direction.

Assessment of visual outcomes of cataract surgery in Tujia nationality in Xianfeng County, China

AIM: To evaluate the visual outcome and factors influencing visual outcome of manual small incision cataract surgery(MSICS) in the rural area in the Xianfeng County.METHODS: Eighty-two eyes of 82 patients who underwent cataract surgery performed by using MSICS technique were identified. Data collected included each patient’s age, gender, the level of education. Uncorrected and corrected distance visual acuity(UDVA and CDVA) at presentation and at 1, 6, 8wk postoperatively, pre-existing eye disease, operative findings and complications, the risk factors were evaluated.RESULTS: In 82 patients, the average age was 69.6±0.6y, illiterate were 52(63.4%). Of 82 eyes, pseudophakia was present in 77 eyes(93.9%). At 1wk postoperatively,47 eyes(57.3%) had the UDVA of ≥6/18, and 52 eyes(63.4%) had the CDVA of ≥6/18. At 6 to 8wk postoperatively, 50 eyes(61.0%) had UDVA of ≥6/18, and57 eyes(69.5%) had the CDVA of ≥6/18. Postoperative visual status was significantly related to the co-morbidities, such as corneal pathology, glaucoma(P 【0.001).Operative complications, such as posterior capsule opacity and cystoid macular edema were main operative cause for the poor visual outcome.CONCLUSION: MSICS provides a good visual recovery in our study but the vision outcome did not fulfill the standards proposed by WHO, which highlights the need for an improvement in local socioeconomic understanding, population education and surgery quality.

对比超声乳化术与小切口囊外摘除术治疗白内障的效果

目的分析超声乳化术与小切口囊外摘除术治疗白内障的效果差异。方法回顾性分析商丘市眼科医院2018年1月至2022年12月接受治疗的白内障患者189人(189眼)的数据实施。依据患者所接受的手术方法差异实施分组,分为A组(接受超声乳化手术,n=93)以及B组(接受小切口囊外摘除手术,n=96)。均选择术前(T_(1))、术后7 d(T_(2))、术后1个月(T_(3))、术后3个月(T_(4))共4个时间点的数据实施分析,对比两组患者治疗效果。对比两组患者不同时间点的视力情况、角膜内皮细胞数量、黄斑区厚度以及T_(4)时两组患者的黄斑水肿发生率,不同时间点手术源性角膜散光值,两组患者术后3个月内的并发症情况。结果T_(1)、T_(3)、T_(4)时间点,两组患者的裸眼视力、最佳矫正视力数据差异无统计学意义(P>0.05),T_(2)时间点,小切口囊外摘除手术组的裸眼视力、最佳矫正视力水平均优于于超声乳化术组,差异有统计学意义(P<0.05)。T_(1)时间点,两组患者的角膜内皮细胞数量数据差异无统计学意义(P>0.05),在T_(2)、T_(3)、T_(4)时间点,B组的角膜内皮细胞数量均高于A组,差异有统计学意义(P<0.05)。T_(1)、T_(4)时间点,两组患者的黄斑区厚度和T_(4)时两组患者的黄斑水肿发生率的数据差异无统计学意义(P>0.05),在T_(2)、T_(3)时间点,B组的黄斑区厚度均低于A组,差异有统计学意义(P<0.05)。两组患者不同时间点的手术源性角膜散光值数据差异无统计学意义(P>0.05)。B组术后3个月的并发症发生率低于A组,差异有统计学意义(P<0.05)。结论针对白内障的患者,超声乳化术和小切口囊外摘除术均为有效的手术方法,两种方法相比,小切口囊外摘除术更利于患者术后短期的恢复以及围手术期并发症的降低。

小切口白内障囊外摘除术与超声乳化术治疗硬核白内障患者的效果比较

目的:比较小切口白内障囊外摘除术与超声乳化术治疗硬核白内障患者的效果。方法:回顾性分析2022年10月至2023年10月该院收治的90例硬核白内障患者的临床资料,按照手术方式不同将其分为对照组和观察组各45例。对照组采用超声乳化术治疗,观察组采用小切口白内障囊外摘除术治疗。比较两组手术前后泪膜功能[泪膜破裂时间(BUT)、泪液分泌试验(STT)]、角膜功能[角膜厚度、角膜荧光染色(FL)评分]、视力水平及并发症发生率。结果:术后3 d,两组BUT、STT值及角膜厚度均小于术前,但观察组大于对照组,两组FL评分均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);术后3个月,两组患眼视力水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为8.89%(4/45),低于对照组的35.56%(16/45),差异有统计学意义(P<0.05)。结论:小切口白内障囊外摘除术治疗硬核白内障患者效果良好,可提高患者视力水平,减少对泪膜、角膜功能的损伤,降低术后并发症发生率,效果和安全性优于超声乳化术。

小切口囊外摘除术与超声乳化术分别联合人工晶状体植入术治疗白内障患者的效果比较

目的:比较小切口囊外摘除术与超声乳化术分别联合人工晶状体植入术治疗白内障患者的效果。方法:选取2020年1月至2022年12月该院收治的70例白内障患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各35例。对照组采取超声乳化术联合人工晶状体植入术治疗,研究组采取小切口囊外摘除术联合人工晶状体植入术治疗,比较两组手术前后视力水平、角膜内皮细胞密度、六角形细胞占比和并发症发生率。结果:术后1 d、3 d、7 d、1个月,研究组视力水平高于对照组,差异均有统计学意义(P<0.05);术后3个月,两组角膜内皮细胞密度、六角形细胞占比均低于术前,但研究组高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为8.57%,低于对照组的28.57%,差异有统计学意义(P<0.05)。结论:小切口囊外摘除术联合人工晶状体植入术治疗白内障患者可提高其术后视力水平和角膜内皮细胞密度、六角形细胞占比,降低其并发症发生率,效果优于超声乳化术联合人工晶状体植入术治疗。

年轻眼科医师基于手术模拟器的小切口白内障囊外摘除手术培训的有效性评估

目的:探讨基于手术模拟器操作训练在眼科年轻医师小切口白内障囊外摘除手术培训的有效性评估。方法:前瞻性对照研究。选取2020/2022年在沈阳何氏眼科医院已完成至少3a住院医师规范化培训的眼科专业住院医师或刚取得主治证书的眼科主治医师共48名为研究对象,通过小切口白内障囊外摘除手术相关理论培训及考核后,随机分为模拟器手术操作训练组(试验组)和实体动物眼手术操作训练组(对照组),每组各24名。试验组和对照组医师分别使用手术模拟器和猪眼进行训练。训练结束后使用手术模拟器和实体猪眼操作对两组研究对象进行考核评分,并对两组医师的总体培训效果进行有效性评估。结果:手术模拟器考核评分及用时比较,试验组研究对象在各步骤考核用时均低于对照组(均P<0.05)。试验组研究对象在角膜穿刺注入黏弹剂、娩核及水密角膜穿刺口操作评分与对照组比较均无差异(P>0.05),其余步骤评分,试验组均高于对照组(均P<0.05)。实体动物眼考核评分,试验组研究对象各步骤考核评分均高于对照组(均P<0.05)。试验组研究对象在巩膜切口、角巩膜隧道、连续环形撕囊、水分离及转核至前房、娩核步骤手术模拟器与实体动物眼考核评分比较均无差异(P=0.068、0.126、0.960、0.520、0.206);在穿刺注入黏弹剂、隧道穿刺进入前房及水密角膜穿刺口考核中,模拟器评分均低于实体动物眼(P=0.007、0.014、<0.01);在皮质吸除、人工晶状体植入操作考核时模拟器评分要高于实体动物眼操作评分(P=0.035、<0.01)。结论:将手术模拟器操作训练应用于眼科年轻医师小切口白内障囊外摘除手术技能培训,可以显著提升医师的白内障显微手术操作技能,为建立眼科年轻医师规范化的白内障手术培训提供了新的模式及思路。

小切口非超声乳化白内障手术治疗硬核白内障的临床效果评价

目的探讨硬核白内障患者采用小切口非超声乳化白内障手术治疗的效果。方法选取2021年1月—2022年12月泰兴市第二人民医院收治86例硬核白内障患者为研究对象,按随机数表法分为对照组(n=43)予常规超声乳化白内障手术,观察组(n=43)予以小切口非超声乳化白内障手术,比较两组手术效果。结果术前、术后1个月两组视力水平对比,差异无统计学意义(P>0.05);术后1 d、术后1周时,观察组视力水平分别为(0.52±0.14)、(0.67±0.19)高于对照组,差异有统计学意义(t=4.420、4.334,P<0.05)。术前、术后1 d、术后1周时两组患者角膜散光度比较,差异无统计学意义(P>0.05),观察组患者术后1 d与1周时角膜散光度低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症率为4.65%低于对照组的20.93%,差异有统计学意义(P<0.05)。结论对硬核白内障患者采用小切口非超声乳化白内障手术治疗的效果确切,可利于患者视力的快速恢复,并可改善角膜散光度,降低并发症率。

小切口囊外摘除术与超声乳化术治疗白内障疗效比较

目的:探究小切口囊外摘除术与超声乳化术对白内障患者角膜内皮细胞数目、黄斑区厚度及手术源性角膜散光的影响。方法:回顾性研究。选取我院2019-05/2023-02收治的年龄相关性白内障患者296例296眼。根据手术方式分为小切口囊外摘除术组144眼与超声乳化术组152眼。比较两组患者术前,术后7d,1、3mo裸眼视力、最佳矫正视力、角膜内皮细胞数目、黄斑区厚度、手术源性角膜散光及术后并发症发生情况。结果:小切口囊外摘除术组患者术后7d裸眼视力和最佳矫正视力均优于超声乳化术组,术后7d,1、3mo角膜内皮细胞数目均高于超声乳化术组,术后7d,1mo黄斑区厚度均低于超声乳化术组,术后角膜水肿发生率及总并发症发生率均低于超声乳化术组(均P<0.05),但术后1、7d,1、3mo手术源性角膜散光值与超声乳化术组比较均无差异(P>0.05)。结论:相较于超声乳化术,小切口囊外摘除术术后角膜内皮细胞数目及黄斑区厚度变化较小,视力恢复更快,并发症减少。

小切口非超声乳化白内障手术在硬核白内障患者中的应用效果

目的 探究分析对硬核白内障患者采用小切口非超声乳化白内障手术的临床治疗效果。方法 选取2021年1月—2022年2月期间内盐城市第三人民医院眼科中102例硬核白内障患者,根据随机数字表法分为对照组(51例,传统超声乳化术)与观察组(51例,小切口非超声乳化白内障手术)。比较两组患者术后泪膜功能、角膜改善程度以及视力水平。结果 治疗后,观察组患者治疗3个月后的角膜内皮细胞密度为(2.61±0.30)千个/mm^(2),高于对照组的(2.48±0.28)千个/mm^(2),且细胞面积、角膜厚度、主观干眼症评分低于对照组,泪膜破裂时间长于对照组,差异有统计学意义(P<0.05);观察组治疗后1 d的视力水平(0.74±0.18)高于对照组(0.66±0.16),差异有统计学意义(t=2.372,P<0.05)。结论 通过小切口非超声乳化白内障手术治疗的硬核白内障患者,视力水平、泪膜功能、角膜细胞均得到显著改善,值得应用和普及。

糖尿病性白内障患者2种眼科手术方法的临床疗效比较

目的比较不同方案治疗糖尿病性白内障(DC)的临床效果。方法选取175例DC患者,根据手术方案分为A组88例和B组87例。A组采用小切口白内障囊外摘除联合人工晶体植入术,B组采用超声乳化抽吸联合人工晶体植入术。比较2组术前(T_(0))、术后14 d(T_(1))、术后1个月(T_(2))最佳矫正视力、角膜散光度、泪液分泌量;记录围术期并发症发生率情况;采用中文版低视力者生活质量量表(CLVQOL)评估T_(0)、T_(1)、T_(2)时各维度评分。结果A组T_(1)时最佳矫正视力高于B组,T_(2)时最佳矫正视力和角膜散光高于B组,差异有统计学意义(P<0.05)。A组患者角膜水肿的发生率为4.55%,低于B组的14.94%,差异有统计学意义(P<0.05)。2组T_(1)时CLVQOL各维度得分及总分均高于T_(0),差异有统计学意义(P<0.05)。结论小切口白内障囊外摘除联合人工晶体植入术对患者早期视力恢复效果更佳,且并发症发生率较低。

小切口囊外摘除术与超声乳化术治疗老年膨胀期白内障的临床对比研究

目的 对比分析老年膨胀期白内障患者行不同术式(小切口囊外摘除术、超声乳化术)治疗的预后效果,为老年膨胀期白内障疾病手术治疗提供参考。方法 选择我院眼科2018年5月至2019年5月期间收治治疗的老年膨胀期白内障疾病患者(n=70),采取手术治疗,患者知情情况下以随机数字表法分组(对照组、观察组)。对照组35例老年患者行小切口囊外摘除术治疗,观察组35例老年患者行超声乳化术治疗。比较两组老年膨胀期白内障患者的手术情况,包括手术时间、住院情况、并发症以及手术前后眼压、视力水平。结果 术前阶段,组间眼压、视力情况比较,差异并无显著性P>0.05。术后1个月、3个月比较术前眼压、视力明显改善,且观察组患者指标改善幅度更大,明显优于对照组,P<0.05,具有统计学意义。组间手术时间、术后住院时间比较,观察组患者用时明显短于对照组,P<0.05具有统计学意义。组间住院治疗总费用比较,观察组费用明显少于对照组,P<0.05具有统计学意义。组间角膜水肿、角膜内皮损害、眼压升高、前房渗出等并发症情况比较,差异并无显著性P>0.05。结论 小切口囊外摘除术、超声乳化术均可用于治疗老年膨胀期白内障治疗中,就整体手术效果比较,超声乳化术优势显著,但费用也相对较高。