中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
5期
571-574
,共4页
吴连井%周武英%罗浩%徐道芬%何朝阳
吳連井%週武英%囉浩%徐道芬%何朝暘
오련정%주무영%라호%서도분%하조양
白内障%非超声乳化%复明工程%人工晶状体%脱盲
白內障%非超聲乳化%複明工程%人工晶狀體%脫盲
백내장%비초성유화%복명공정%인공정상체%탈맹
Cataract%Non-phacoemulsification%Preventing blinding project%Artificial lens%Off-blindness
目的 回顾性分析、研究小切口非超声乳化白内障摘除人工晶状体植入术在白内障复明工程中的应用的可行性.方法 对2007年9月至2010年5月在福建省浦城县残联共组织642例(642只眼)贫困人群白内障患者行小切口非超声乳化白内障摘除人工晶状体植入术,观察术后1天、1周、1个月的视力恢复情况和术中、术后出现的并发症.结果 (1)术后视力:第1天,≥0.3者528只眼(82.3％),≥0.05～＜0.3者87只眼(13.5％),＜0.05者27只眼(4.2％)；术后1周复诊504例,视力情况:≧0.3者466只眼(92.4％),≥0.05～＜0.3者22只眼(4.5％),＜0.05者16只眼(3.1％)；术后1个月复诊488例,视力情况:≧0.3者473只眼(96.5％),≥0.05-＜0.3者9只眼(1.9％),＜0.05者6只眼(1.6％),6眼中4只眼为高度近视,2只眼为老年黄斑变性.(2)术前及术后1d、1周、1月测得角膜平均散光度分别为:(0.53±0.21)D、(0.56±0.36)D、(0.46±0.33)D、(0.43±0.31)D.术后散光随时间的推移逐渐减小,术后各时间段角膜散光之间差异无统计学意义(P＞0.05),与术前散光比较也无统计学意义(P＞0.05).(3)术中并发症:后囊破裂16只眼(2.49％),虹膜脱出8只眼(1.24％),穿透巩膜2只眼(0.311％),眼睑皮下淤血20只眼(3.11％).(4)术后并发症:短暂性眼压升高23只眼(3.58％)；不同程度角膜水肿48只眼(7.47％),一周内恢复透明；人工晶状体偏位4只眼(0.62％)；瞳孔变形12只眼(1.86％)；晶状体皮质残留并附着于人工晶状体表丽影响视力2只眼(0.311％),第二天进行前房抽吸后清除.1个月时脱盲率98.0％ (480/488).结论 小切口非超声乳化白内障摘除人工晶体状植入术是一种安全、有效的手术方式,尤其适用于白内障复明工程.
目的 迴顧性分析、研究小切口非超聲乳化白內障摘除人工晶狀體植入術在白內障複明工程中的應用的可行性.方法 對2007年9月至2010年5月在福建省浦城縣殘聯共組織642例(642隻眼)貧睏人群白內障患者行小切口非超聲乳化白內障摘除人工晶狀體植入術,觀察術後1天、1週、1箇月的視力恢複情況和術中、術後齣現的併髮癥.結果 (1)術後視力:第1天,≥0.3者528隻眼(82.3％),≥0.05～＜0.3者87隻眼(13.5％),＜0.05者27隻眼(4.2％)；術後1週複診504例,視力情況:≧0.3者466隻眼(92.4％),≥0.05～＜0.3者22隻眼(4.5％),＜0.05者16隻眼(3.1％)；術後1箇月複診488例,視力情況:≧0.3者473隻眼(96.5％),≥0.05-＜0.3者9隻眼(1.9％),＜0.05者6隻眼(1.6％),6眼中4隻眼為高度近視,2隻眼為老年黃斑變性.(2)術前及術後1d、1週、1月測得角膜平均散光度分彆為:(0.53±0.21)D、(0.56±0.36)D、(0.46±0.33)D、(0.43±0.31)D.術後散光隨時間的推移逐漸減小,術後各時間段角膜散光之間差異無統計學意義(P＞0.05),與術前散光比較也無統計學意義(P＞0.05).(3)術中併髮癥:後囊破裂16隻眼(2.49％),虹膜脫齣8隻眼(1.24％),穿透鞏膜2隻眼(0.311％),眼瞼皮下淤血20隻眼(3.11％).(4)術後併髮癥:短暫性眼壓升高23隻眼(3.58％)；不同程度角膜水腫48隻眼(7.47％),一週內恢複透明；人工晶狀體偏位4隻眼(0.62％)；瞳孔變形12隻眼(1.86％)；晶狀體皮質殘留併附著于人工晶狀體錶麗影響視力2隻眼(0.311％),第二天進行前房抽吸後清除.1箇月時脫盲率98.0％ (480/488).結論 小切口非超聲乳化白內障摘除人工晶體狀植入術是一種安全、有效的手術方式,尤其適用于白內障複明工程.
목적 회고성분석、연구소절구비초성유화백내장적제인공정상체식입술재백내장복명공정중적응용적가행성.방법 대2007년9월지2010년5월재복건성포성현잔련공조직642례(642지안)빈곤인군백내장환자행소절구비초성유화백내장적제인공정상체식입술,관찰술후1천、1주、1개월적시력회복정황화술중、술후출현적병발증.결과 (1)술후시력:제1천,≥0.3자528지안(82.3％),≥0.05～＜0.3자87지안(13.5％),＜0.05자27지안(4.2％)；술후1주복진504례,시력정황:≧0.3자466지안(92.4％),≥0.05～＜0.3자22지안(4.5％),＜0.05자16지안(3.1％)；술후1개월복진488례,시력정황:≧0.3자473지안(96.5％),≥0.05-＜0.3자9지안(1.9％),＜0.05자6지안(1.6％),6안중4지안위고도근시,2지안위노년황반변성.(2)술전급술후1d、1주、1월측득각막평균산광도분별위:(0.53±0.21)D、(0.56±0.36)D、(0.46±0.33)D、(0.43±0.31)D.술후산광수시간적추이축점감소,술후각시간단각막산광지간차이무통계학의의(P＞0.05),여술전산광비교야무통계학의의(P＞0.05).(3)술중병발증:후낭파렬16지안(2.49％),홍막탈출8지안(1.24％),천투공막2지안(0.311％),안검피하어혈20지안(3.11％).(4)술후병발증:단잠성안압승고23지안(3.58％)；불동정도각막수종48지안(7.47％),일주내회복투명；인공정상체편위4지안(0.62％)；동공변형12지안(1.86％)；정상체피질잔류병부착우인공정상체표려영향시력2지안(0.311％),제이천진행전방추흡후청제.1개월시탈맹솔98.0％ (480/488).결론 소절구비초성유화백내장적제인공정체상식입술시일충안전、유효적수술방식,우기괄용우백내장복명공정.
Objective To analyze and explore the clinical practicality and efficacy of small non-phacoemulsification surgery and intraocular lens implantation in the preventing blinding project.Methods A total of 642 patients with cataract recruited by the association for the handicapped in Pucheng city,Fujian province received small non-phacoemulsification cataract surgery and intraocular lens implantation between September 2007 and May 2010.The vision and complications were observed during the operation,1 day,1 week,and 1 month after operation respectively. Results Visual acuity on the postoperative day 1,equal to or better than 0.3 accounted for 528 eyes (82.3％),less than 0.3 accounted for 87 eyes (13.5％),less than 0.05 accounted for 27 eyes (4.2％); by the end of the 1st week,504 patients were followed up,visual acuity of 466 eyes were equal to or above 0.3 (92.4％),less than 0.3 accounted for 22 eyes (4.5％),less than 0.05 accounted for 16 eyes (3.1％); 488 patients were followed up 1 month after operation,visual acuity of 473 eyes were equal to or above 0.3 (96.5％),less than 0.3 accounted for 9 eyes (1.9％),less than 0.05 accounted for 6 eyes (1.6％); 4 of the 6 eyes were high myopia,2 were age-related macular degeneration.Average corneal- astigmatism before and after operation on the 1st day,1st week and the 1st month were (0.53±0.21)D,(0.56±0.36)D,(0.43±0.31)D respectively,and there were no significant differences (P ＞0.05) between each group.Intraoperative complications were rupture of posterior capsule in 16eyes (2.49％),prolapse of iris in 8 eyes,penetrated through sclera in 2 eyes (0.31％),eyelid pore in 20 eyes (3.11％).Postoperative complications were ocular hypertension in 23 eyes (3.58％),corneal endothelial edema in 48 eyes (7.47％),IOL dislocation in 4 eyes (0.62％),pupil deformation in 12eyes (1.86％),with lens cortex remain in 2 eyes (0.31％).98.0％ of 488 eyes were off-disability one month after operation. Conclusions It is safe and practical of using the small incision non-phacoemulsification cataract surgery,which is worth promoting in the preventing blinding project.
