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目的探讨2010年我院贫困白内障患者复明工程中小切口白内障囊外摘除联合人工晶体(IOL)植入术治疗老年性白内障的临床疗效。方法对2010年10月～12月在我院“贫困白内障患者复明工程”中治疗的81例老年性白内障患者行小切口白内障囊外摘除联合人工晶体植入术,观察术中、术后并发症及术后视力恢复情况。结果术后随访中全部患者最佳矫正视力(BCVA)均好于0.05,脱盲率达100%;0.05～0.3者5例,≥0.3者76例,脱残率达93.8%;术中及术后常见的并发症有:角膜重度水肿、角膜后弹力层剥脱、后囊膜破裂、前房渗出等。结论小切口白内障囊外摘除联合IOL植入术应用在贫困白内障患者复明工程中安全、经济、有效,是基层医院治疗老年性白内障的较好方法。
Objective To investigate the clinical efficacy of extracapsular cataract extraction combined with intraocular lens (IOL) implantation in the treatment of senile cataract in patients with cataract in poor cataract in our hospital in 2010. Methods A total of 81 cases of senile cataract treated in our hospital from October to December 2010 underwent cataract extraction and cataract extraction combined with intraocular lens implantation. The intraoperative and postoperative Complications and postoperative visual acuity recovery. Results The best corrected visual acuity (BCVA) of all patients at follow-up was better than 0.05 and the rate of the blindness was 100%. Among 5 cases with 0.05-0.3, 76 cases were ≥0.3, the disability rate was 93.8% Common complications are: severe corneal edema, corneal stripping layer detachment, posterior capsule rupture, anterior chamber exudate and so on. Conclusions Small incision extracapsular cataract extraction combined with IOL implantation is a safe, economical and effective method for the reconstruction of poor cataract patients. It is a good way to treat senile cataract in primary hospitals.