论文部分内容阅读
目的探讨小切口白内障摘除手术方法疗效及手术并发症。方法对560例580只眼白内障患者行小切口白内障摘除术人工晶体植入术,对其术后疗效及并发症进行临床分析。结果术后1～3月最佳矫正视力大于等于0.5的有550只眼(94.83%),术中并发症,虹膜脱出30只眼(5.17%),虹膜根部离断4只眼(0.69%),晶状体后囊破裂6只眼(1.03%),前房出血30只眼(5.17%),后弹力层脱离30只眼(5.17%)。术后并发症109只眼(18.79%)包括角膜水肿50只眼(8.62%,其中内皮条样混浊40只眼),前房纤维渗出40只眼(6.90%),短暂性高眼压10只眼(1.72%),前房积血5只眼(0.86%)瞳孔夹持4只眼(0.70%)。结论小切口的白内障摘除术,具有操作相对简单、术后视力恢复快、安全经济的特点。手术技巧的提高,将会减少并发症的发生。
Objective To investigate the curative effect and operative complications of small incision cataract surgery. Methods 560 patients (580 eyes) with cataract were treated with small incision cataract extraction and intraocular lens implantation. The clinical efficacy and complications were analyzed. Results There were 550 eyes (94.83%) with best corrected visual acuity (0.5%) at 1 ~ 3 months postoperatively, 30 eyes (5.17%) with iris prolapse, 4 eyes (0.69% 6 eyes (1.03%) had posterior capsular rupture, 30 eyes (5.17%) had anterior chamber hemorrhage, and 30 eyes (5.17%) had posterior elastic layer. 109 eyes (18.79%) with postoperative complications included corneal edema in 50 eyes (8.62%), anterior chamber fibrosis in 40 eyes (6.90%) and transient intraocular hypertension Eyes (1.72%), hyphema in 5 eyes (0.86%) and pupil in 4 eyes (0.70%). Conclusion Small incision cataract extraction has the characteristics of relatively simple operation, quick recovery of visual acuity and safety and economy. Surgery skills will reduce the incidence of complications.