中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
5期
447-449
,共3页
高龄%白内障摘除术%低视力
高齡%白內障摘除術%低視力
고령%백내장적제술%저시력
Advanced aged%Cataract extraction%low vision
目的 分析80岁以上高龄白内障患者,行白内障摘除术后非手术原因造成的术后低视力的原因.方法 回顾性分析129例(138只眼)高龄白内障患者的相关临床资料.术前综合因素评估,严格掌握手术适应证和手术禁忌证,12例(14只眼)患者因术前发现无法耐受手术及手术后视力无法提高而放弃手术.术中采取心电监护和持续低流量吸氧,对117例(124只眼)高龄白内障患者施行超声乳化或小切口白内障摘除联合人工晶状体植入术.术后随访4～12(平均7.2月).结果 术后1周最佳矫正视力＜0.05者3例(4只眼2.6%),0.05至＜0.3者23例(27只眼,19.6%),≥0.3者91例(93只眼,77.8%).术前与术后1周最佳矫正视力差异有统计学意义(P＜0.05).手术脱残率为72.3%,脱盲率为92.1%.术后矫正视力低于0.3的26例中,2例黄斑囊样水肿,1例外伤性白内障术后发生视网膜脱离并发症,其余23只眼均有不同程度的眼底病变存在.结论 随着显微手术技术的不断发展,白内障手术并发症已明显减少.白内障术后低视力的原因主要为患者自身眼底病变.
目的 分析80歲以上高齡白內障患者,行白內障摘除術後非手術原因造成的術後低視力的原因.方法 迴顧性分析129例(138隻眼)高齡白內障患者的相關臨床資料.術前綜閤因素評估,嚴格掌握手術適應證和手術禁忌證,12例(14隻眼)患者因術前髮現無法耐受手術及手術後視力無法提高而放棄手術.術中採取心電鑑護和持續低流量吸氧,對117例(124隻眼)高齡白內障患者施行超聲乳化或小切口白內障摘除聯閤人工晶狀體植入術.術後隨訪4～12(平均7.2月).結果 術後1週最佳矯正視力＜0.05者3例(4隻眼2.6%),0.05至＜0.3者23例(27隻眼,19.6%),≥0.3者91例(93隻眼,77.8%).術前與術後1週最佳矯正視力差異有統計學意義(P＜0.05).手術脫殘率為72.3%,脫盲率為92.1%.術後矯正視力低于0.3的26例中,2例黃斑囊樣水腫,1例外傷性白內障術後髮生視網膜脫離併髮癥,其餘23隻眼均有不同程度的眼底病變存在.結論 隨著顯微手術技術的不斷髮展,白內障手術併髮癥已明顯減少.白內障術後低視力的原因主要為患者自身眼底病變.
목적 분석80세이상고령백내장환자,행백내장적제술후비수술원인조성적술후저시력적원인.방법 회고성분석129례(138지안)고령백내장환자적상관림상자료.술전종합인소평고,엄격장악수술괄응증화수술금기증,12례(14지안)환자인술전발현무법내수수술급수술후시력무법제고이방기수술.술중채취심전감호화지속저류량흡양,대117례(124지안)고령백내장환자시행초성유화혹소절구백내장적제연합인공정상체식입술.술후수방4～12(평균7.2월).결과 술후1주최가교정시력＜0.05자3례(4지안2.6%),0.05지＜0.3자23례(27지안,19.6%),≥0.3자91례(93지안,77.8%).술전여술후1주최가교정시력차이유통계학의의(P＜0.05).수술탈잔솔위72.3%,탈맹솔위92.1%.술후교정시력저우0.3적26례중,2례황반낭양수종,1예외상성백내장술후발생시망막탈리병발증,기여23지안균유불동정도적안저병변존재.결론 수착현미수술기술적불단발전,백내장수술병발증이명현감소.백내장술후저시력적원인주요위환자자신안저병변.
Objective To analyse non surgical causes of low vision after cataract extraction in advanced aged patients.Methods the authors performed a retrospectives study in 129(138 eyes)senior patients in the past 4 years.twelve cases (14 eyes)did not have surgery due to impossible to tolerate the operation or impossible to obtain improvement of visual acuity after operation.Monitored by EKG and supplied by constant inhalation of low dose oxygen,117 cased (124 eyes) with phacoemulsification or non-phacoemulsification cataract extraction of small incision,Aider follow up for 4～12 months (mean 7.2 months)Results 91 cases(93eyes) had a best corrected visual acuity (BCVA) equalor more than20/60(77.8％);23 cases(27 eyes) had BCVA of 20/400 or less than 20/60 (19.7％);and 3 cases(4 eyes) had BCVA less than 20/400(2.6％).Conclusions The key factor affected vision restoration was original ocular diseases.
