CAJ | 학술논문

目的：探讨复明工程中应用改良小切口白内障囊外摘除术的临床效果和手术安全性。 　　方法：对82例82眼纳入复明工程的白内障患者行联合使用改良技术(前囊膜染色、环形撕囊联合截囊、辅助切口)的小切口白内障囊外摘除术，重点观察术后视力恢复、术中并发症发生情况。 　　结果：术后视力：出院时裸眼视力≥0.3者67例占82%；出院1wk时裸眼视力≥0.3者76例占93%，其中≥0.8者45例占55%。术中无晶状体后囊膜破裂、悬韧带离断等较为严重的并发症发生。 　　结论：联合使用改良技术，可以提高小切口白内障囊外摘除术的手术安全性。
목적：탐토복명공정중응용개량소절구백내장낭외적제술적림상효과화수술안전성。 　　방법：대82례82안납입복명공정적백내장환자행연합사용개량기술(전낭막염색、배형시낭연합절낭、보조절구)적소절구백내장낭외적제술，중점관찰술후시력회복、술중병발증발생정황。 　　결과：술후시력：출원시라안시력≥0.3자67례점82%；출원1wk시라안시력≥0.3자76례점93%，기중≥0.8자45례점55%。술중무정상체후낭막파렬、현인대리단등교위엄중적병발증발생。 　　결론：연합사용개량기술，가이제고소절구백내장낭외적제술적수술안전성。
AIM: To investigate the clinic efficacy and operation safety of improved small incision extracapsular cataract extraction in the sight-regaining program. METHODS: Totally 82 cases ( 82 eyes ) included in the sight-regaining program of the cataract patients were underwent small incision extracapsular cataract extraction conbined with improved technology ( anterior capsule staining, continuous curvilinear capsulorhexis, auxiliary incision ) , postoperative visual recovery and operative complications were observed. RESULTS: Postoperative visual acuity: uncorrected visual acuity when out of hospital: ≥0. 3 were 67 cases (82%);1wk after dismissed from hospital:≥0. 3 were 76 cases (93%), admist which ≥0. 8 were 45 cases (55%). There is no serious complication such as posterior capsule rupture, zonular dialysis, etc. in the operation.CONCLUSION: Combined use of improved technology can increase operation safety of small incision extracapsular cataract extraction.