论文部分内容阅读
目的 :探讨边远地区基层医院开展大规模突击性白内障复明手术并发症的防治方法。方法 :回顾性地分析 3 85例 3 94眼白内障手术及其并发症发生的原因。结果 :3 94眼白内障手术中 ,人工晶体植入率为 86 % ,术后发生角膜水肿 8眼 ,前房出血 2眼 ,继发性青光眼 1眼 ,人工晶体偏中心 3眼。所有患者术后出院时视力 (含针孔矫正视力 )较术前明显提高 (P <0 .0 1 ) ,脱盲率达 98% ,脱残率达 86 % ,手术成功率为 1 0 0 %。结论 :术前仔细检查 ,术中细致操作和术后认真观察、及时处理是减少和避免术后发生严重并发症的关键。
Objective: To explore the prevention and treatment of complications of large-scale surprise cataract surgery in primary hospitals in remote areas. Methods: A retrospective analysis of 3 85 cases of 3 94 eyes cataract surgery and its causes of complications. Results: The intraocular lens implantation rate was 86% in 3 of 94 cataract operations. There were 8 corneal edema, 2 anterior chamber blebs, 1 secondary glaucoma and 3 intraocular lenses. Visual acuity (including pinhole-corrected visual acuity) was significantly higher in all patients (P <0.01) after surgery, with a total of 98% blindness rate, 86% morbidity and 100% success rate. Conclusions: Careful examination before operation, meticulous operation in operation and careful observation after operation are the keys to reduce and avoid serious postoperative complications.