小切口白内障囊外摘除人工晶状体植入术312例临床分析

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1、小切口白内障囊外摘除人工晶状体植入术312例临床分析【摘要】目的：探讨白内障小切口囊外摘除人工晶状体植入术的手术技巧及临床效果。方法：对2007?04/2008?12小切口白内障囊外摘除人工晶状体植入术312例312眼回顾性分析。结果：术后视力明显提高，≥0.05者307眼，脱盲率98.4%;≥0.3者285眼，脱残率91.3%。术中、术后并发症：后囊膜破裂4眼(1.3%);术后角膜水肿75眼(24.0%);虹膜损伤2眼(0.6%);术后暂时性高眼压5眼(1.6%);瞳孔轻度变形者6眼(1.9%);人工晶状体夹持2眼

2、(0.6%);术后葡萄膜炎12眼(3.8%);人工晶状体未能一期植入者5眼(1.6%);1n;1.32，经处理未见严重并发症发生。结论：白内障小切口囊外摘除人工晶状体植入术，疗效显著、并发症少，安全易行，特别是对基层医院不失为防盲复明手术的首选术式。【关键词】白内障;小切口;囊外摘除;人工晶状体　Clinicalanalysisof312casessmallincisioncataractextractionandintraocularlensimplantation　　Gui?LianJing,Yue?LiLi,JunYue　

3、　EyeHospitalofPuyang,Puyang457000,HenanProvince,China　　Correspondenceto:Gui?LianJing.EyeHospitalofPuyang,Puyang457000,HenanProvinceChina.jinggl_3126.　　Received:2010?07?08Accepted:2010?08?09　　Abstract　　?AIM:Toinvestigatetheclinicaleffectofsmallincisionextracapsularcat

4、aractextractionandintraocularlensimplantation.　　?METHODS:FromtheApril2007toDecember2008,312casesallincisionextracapsularcataractextractionandintraocularlensimplantationanalyzedretrospectively.　　?RESULTS:Postoperativevisualacuityincreasedsignifi?cantly,≥0.05a75eyes

5、account?edfor24.0%;irisdamage2eyesaccountedfor0.6%;temporaryhighintraocularpressure5eyesaccountedfor1.6%;pupilmilddeformity6eyesaccountedfor1.9%;intraocularlensgripping2eyesaccountedfor0.6%;postoperativeuveitis12eyesaccountedfor3.8%;planted5eyesaccountedfor1.6%;Theav

6、eragecornealastigmatismn;1.32intheposto?perativeday7,andnoseriousplicationsoccurred.　　?CONCLUSION:Smallincisioncataractextractionandintraocularlensimplantationhasasignificanteffectandfearyhospitalforthepreventionofblindness.　　?KEYallincision;extracapsularcataractextr

7、action;intraocularlens　　JingGL,LiYL,YueJ.Clinicalanalysisof312casessmallincisioncataractextractionandintraocularlensimplantation.IntJOphthalmol　　(GuojiYankeZazhi)2010;10(9):1748?1749　白内障是我国首要致盲眼病，防治白内障是我国防盲致盲的重点工作，而手术是白内障复明的唯一手段。小切口白内障囊外摘除术又称小切口非超声乳化白内障摘除术，是近几年来在白内障囊

8、外摘除基础上发展起来的白内障手术方式，它既有超声乳化手术相似的小切口和高效率的优点，又无需昂贵的超声乳化设备，被誉为适合中国国情的白内障手术。我们于2007?04/2008?12采用小切口白内障囊外摘除联合人工晶状体植入术治疗白内障患者312例312眼，取得了较