论文部分内容阅读
为总结颞侧透明角膜切口超声乳化术和硬核性白内障治疗的临床疗效并介绍手术经验，对７９８例９１３眼白内障施行颞侧透明角膜切口超声乳化术，８２４眼同期植入硅胶折叠式人工晶体；核硬度：Ⅰ级５０眼、Ⅱ级１８７眼、Ⅲ级４９１眼、Ⅳ级１８５眼。结果：术后随访时间一个月，视力：≥０．５术后一天、一周分别为３５．７６％和５６．１８％，术后一月＞０．８为７３．０２％。术后早期：不同硬度核的视力恢复有差异（Ｐ＜０．０１），角膜水肿发生率Ⅲ～Ⅳ级核高于Ⅰ～Ⅱ级核（Ｐ＜０．０１）。结论：颞侧透明角膜切口超声乳化术，是一种十分有效、安全和快捷的手术方法。亦可以用于治疗硬核性白内障
To summarize the clinical effect of temporal clear corneal incision phacoemulsification and hard nucleus cataract treatment and to introduce the surgical experience, we performed temporal clear corneal incision phacoemulsification on 798 eyes of 913 eyes. 824 eyes were implanted with silicone intraocular lens ; Nuclear hardness: Ⅰ grade 50 eyes, Ⅱ grade 187 eyes, Ⅲ grade 491 eyes, Ⅳ grade 185 eyes. Results: The follow-up time was one month. The visual acuity was ≥0.5 one day after operation, 35.76% and 56.18% respectively one week after operation, and the value of> 0.8 after one month was 73.02%. Early postoperative visual acuity recovery was different between different hardness nuclei (P <0.01). The incidence of corneal edema in grade Ⅲ ~ Ⅳ was higher than that in grade Ⅰ ~ Ⅱ (P <0.01). Conclusion: Temporal transparent corneal incision phacoemulsification is a very effective, safe and efficient surgical method. Can also be used to treat hard nucleus cataract