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目的探讨在基层医院开展超声乳化手术治疗白内障的围术期治疗、手术方法及并发症处理。方法对佛山市南海区第四人民医院两年内完成的215例(233眼)白内障超声乳化并人工晶体植入手术进行统计分析。结果术后3个月随访,最佳矫正视力(BCVA)≥0.5者215眼,占92.3%;术中并发症:后囊膜破裂16眼,发生率6.8%;术后并发角膜水肿56眼,眼前节毒性反应综合征(TASS)3眼,迟发性感染性眼内炎1眼,晶状体皮质沉入玻璃体腔2眼,术后高眼压15例,经对症处理后均好转。结论白内障超声乳化手术是一种高效安全可靠的治疗手段,适用于基层医院。
Objective To discuss the perioperative treatment, surgical methods and complications of phacoemulsification in primary hospitals. Methods 215 patients (233 eyes) with cataract phacoemulsification and intraocular lens implantation completed in two years in Nanhai District Fourth People’s Hospital of Foshan City were analyzed statistically. Results Three months after operation, 215 eyes had a best corrected visual acuity (BCVA) ≥0.5, accounting for 92.3%. Intraoperative complications included 16 eyes with posterior capsule rupture (6.8%), corneal edema (56 eyes) Three eyes of TASS, one delayed infective endophthalmitis, two cataract in the vitreous cavity and 15 eyes of postoperative intraocular hypertension were all recovered after symptomatic treatment. Conclusion Cataract phacoemulsification is a safe, reliable and effective treatment for primary hospital.