CAJ | 학술논문

目的：探讨我院透明角膜缘切口行白内障超声乳化术的安全性和有效性。方法回顾性分析我院2011年1月至2013年8月行白内障超声乳化吸除联合折叠人工晶状体植入1262例（1739只眼）术后视力、人工晶状体植入率及并发症处理等情况。结果术中植入人工晶状体1731只眼（99．5％），8只眼因后囊膜破裂未植入人工晶状体；术后1周矫正视力≥0．5者1268只眼，0．1～0．4者332只眼，＜0．1者139只眼。13只眼术后出现一过性高眼压，后囊破裂35只眼，角膜水肿中度357只眼，重度59只眼，角膜内皮失代偿1只眼，术后眼内炎3只眼。结论透明角膜缘切口行白内障超声乳化术具有麻醉简单、术后反应轻、视力恢复快的优点，只要规范操作，正确处理术后并发症，手术效果满意，是一种比较理想的手术方式。
목적：탐토아원투명각막연절구행백내장초성유화술적안전성화유효성。방법회고성분석아원2011년1월지2013년8월행백내장초성유화흡제연합절첩인공정상체식입1262례（1739지안）술후시력、인공정상체식입솔급병발증처리등정황。결과술중식입인공정상체1731지안（99．5％），8지안인후낭막파렬미식입인공정상체；술후1주교정시력≥0．5자1268지안，0．1～0．4자332지안，＜0．1자139지안。13지안술후출현일과성고안압，후낭파렬35지안，각막수종중도357지안，중도59지안，각막내피실대상1지안，술후안내염3지안。결론투명각막연절구행백내장초성유화술구유마취간단、술후반응경、시력회복쾌적우점，지요규범조작，정학처리술후병발증，수술효과만의，시일충비교이상적수술방식。
Objective To explore the safety and efficacy of our transparent corneal limbus incision cataract phaco . Methods A retrospective analysis of visual acuity , intraocular lens implantation rate and complications of treatment in 1262 cases (1739 eyes) of cataract ultrasonic emulsification combined fold intraocular lens implantation performed in our hospital between January 2011 and August 2011.Results Totally 1731 eyes (99.5%) received IOL implantation , while 8 eyes did not receive IOL implantation because of posterior capsular rupture .Best corrected visual acuity 1 week after op-eration was better than 0.5 in 1268 eyes, was 0.1 to 0.4 in 332 eyes, and was <0.1 in 139 eyes.There were 13 patients experienced postoperative transient high intraocular pressure .Other complications included 35 eyes posterior capsular rup-ture in 35 eyes, moderate corneal edema in 357 eyes, severe corneal edema in 59 eyes, severe corneal endothelial decom-pensation in 1 eye, and postoperative endophthalmitis in 3 patients.Conclusion With the standardized operations and proper management of postoperative complication , transparent corneal limbus incision cataract phaco is an ideal procedure , with the advantages of simpler anesthesia , satisfactory outcomes , milder postoperative reactions , and better visual recovery.