CAJ | 학술논문

目的：探讨基层医院对90岁以上超高龄白内障患者进行小切口白内障囊外摘除术联合人工晶状体植入术的可行性、安全性、疗效和体会。方法回顾性分析2007-10～2012-10该院对90岁以上超高龄白内障患者43例（52眼）进行小切口白内障囊外摘除＋人工晶状体植入术的麻醉效果、手术安全性和临床效果进行分析。结果43例（52眼）白内障患者均顺利完成手术，术后视力恢复良好，术后1周矫正视力≥0.5者37眼（71.2％），矫正视力在0.1～0.3者10眼（19.2％），0.05～0.08者5眼（9.6％），术后随访均无视网膜脱离、眼内炎、继发青光眼、角膜内皮失代偿和人工晶状体脱位等严重并发症发生。结论在基层医院对超高龄白内障患者实施小切口白内障囊外摘除术联合人工晶状体植入术，切口愈合快，术后反应小，术后散光小，易于操作，费用低，只要把握好适应证，同样可取得良好的效果。
목적：탐토기층의원대90세이상초고령백내장환자진행소절구백내장낭외적제술연합인공정상체식입술적가행성、안전성、료효화체회。방법회고성분석2007-10～2012-10해원대90세이상초고령백내장환자43례（52안）진행소절구백내장낭외적제＋인공정상체식입술적마취효과、수술안전성화림상효과진행분석。결과43례（52안）백내장환자균순리완성수술，술후시력회복량호，술후1주교정시력≥0.5자37안（71.2％），교정시력재0.1～0.3자10안（19.2％），0.05～0.08자5안（9.6％），술후수방균무시망막탈리、안내염、계발청광안、각막내피실대상화인공정상체탈위등엄중병발증발생。결론재기층의원대초고령백내장환자실시소절구백내장낭외적제술연합인공정상체식입술，절구유합쾌，술후반응소，술후산광소，역우조작，비용저，지요파악호괄응증，동양가취득량호적효과。
Objective To explore the feasibility , safety, efficacy and the experience of small incision extra-capsular cataract extraction ( ECCE) combined with intraocular lens ( IOL) implantation in advanced aged patients with cataract in primary hospital .Methods Small incision ECCE and IOL implantation were performed for 43 cases (52 eyes) of cataract with age more than 90 years old.The analgesia effect, the safety of operation and the clinical effects were analyzed .Results All the 43 cases ( 52 eyes ) of cataract underwent the surgery successfully , and the postoperative vision improved well .The corrected vision at one week after operation were ≥0.5 in 37 eyes(71.2%), 0.1~0.3 in 10 eyes(19.2%), and 0.05~0.08 in 5 eyes(9.6%).No serious complications such as retinal de-tachment , endophthalmitis , corneal endothelium decompensation and IOL dislocation were found .Conclusion Small incision ECCE combined with IOL implantation can be effectively and safely performed on advanced aged cataract pa -tients with appropriate indications in primary hospital , because of its fast wound healing , minor postoperative reac-tion, low postoperative astigmatism , easily handled and low costs .