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目的 探讨 80岁以上老年人白内障门诊行超声乳化人工晶体植入术的安全性及临床效果。 方法 对 184例 (2 2 6眼 ) 80岁以上老年白内障门诊患者行超声乳化人工晶体植入术 ,观察其安全性、术中、术后并发症及视力恢复等。 结果 2 2 6眼均安全地在门诊实行手术 ,术中无严重全身并发症发生。术后 3个月 198眼 (87 6 % )视力 >0 5 ,10 2眼 (45 1% ) >1 0 ,主要并发症为角膜水肿 5 8眼 (2 6 2 % ) ,后囊破裂 12眼 (5 3% ) ,后囊混浊 16眼 (7 1% )。 结论 80岁以上老年白内障患者门诊行超声乳化人工晶体植入术是安全有效的 ,关键是术前认真进行眼部及全身状况检查 ,并作全身疾病的相应处理 ,手术中减少刺激并尽量减少术后并发症。
Objective To investigate the safety and clinical effect of phacoemulsification and intraocular lens implantation in cataract clinics over 80 years old. Methods A total of 184 patients (226 eyes) aged 80 years or older with cataract were treated with phacoemulsification and intraocular lens implantation. The safety, intraoperative, postoperative complications and visual acuity were observed. Results All 226 patients underwent surgery in the clinic safely. No serious systemic complications occurred during operation. There were 198 eyes (87.6%) visual acuity> 0.05, 102 eyes (451%)> 10 at 3 months after surgery, and the main complications were edema of 58 eyes (26.2%), posterior capsular rupture of 12 eyes (53%), 16 posterior capsule opacities (71%). Conclusions Phacoemulsification and intraocular lens implantation are safe and effective in patients over 80 years of age with out-patient cataract. The key is to carefully check the ocular and systemic conditions before surgery and treat the whole body diseases accordingly. In the operation, reduce the stimulation and minimize the operation Postoperative complications.