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目的分析硬核白内障患者白内障超声乳化吸出术(Phaco)与小切口白内障囊外摘除术(ECCE)两种术式的疗效及并发症。方法随机选择就诊于我院硬核白内障患者52例(68眼),其中32眼行白内障超声乳化吸出联合人工晶体植入术,36眼行小切口白内障囊外摘除联合人工晶体植入术,观察时间为术前至术后3个月,比较两组患者术前及术后不同时间点视力,分析两组患者术中及术后并发症。结果全部病例术后视力均较术前提高,术前视力两组患者无统计学差异,术后早期小切口ECCE组视力好于Phaco组,术后1周及以后两组患者视力无统计学差异。术中各并发症两组患者无统计学差异。术后早期Phaco组角膜水肿重于ECCE组,余并发症两组患者无统计学差异。结论小切口白内障囊外摘除联合人工晶体植入术早期视力恢复好,术后角膜水肿并发症少,是治疗硬核白内障的有效方法。
Objective To analyze the efficacy and complications of phacoemulsification and small incision extracapsular cataract extraction (ECCE) in cataract patients with severe cataract. Methods Fifty-two patients (68 eyes) with cataract were selected randomly from our hospital. Thirty-two eyes underwent phacoemulsification and intraocular lens implantation. Thirty-six eyes underwent extracapsular cataract extraction combined with intraocular lens implantation. The time ranged from preoperative to 3 months postoperatively. The visual acuity of the two groups at different time points before and after surgery was compared. The intraoperative and postoperative complications were analyzed. Results The postoperative visual acuity was improved in all cases compared with that before operation. There was no significant difference between the two groups in preoperative visual acuity. The visual acuity of ECCE in early small incision was better than that in Phaco group. There was no significant difference in visual acuity between the two groups . There was no significant difference between the two groups in each complication of surgery. The corneal edema in the Phaco group was higher than that in the ECCE group in the early postoperative period, and there was no significant difference between the two groups. Conclusion Small incision extracapsular cataract extraction combined with intraocular lens implantation early recovery of visual acuity, postoperative corneal edema less complications, is an effective method of treatment of cataract.