CAJ | 학술논문

目的：探讨小瞳孔下切口白内障人工晶状体手术的临床治疗效果。方法选取我院2011年12月～2013年12月接收的小瞳孔白内障患者35例，所有患者均采用小切口非超声乳化白内障摘出人工晶状体植入术进行治疗，观察治疗效果。结果术后30d，20例矫正视力≥0.5，13例为0.1～0.4，2例＜0.1；均伴有不同程度的葡萄膜炎反应（7～10d消退），2例出现巩膜隧道切口外口暴露（切口无渗漏，未做特殊处理，7~10d被结膜覆盖），3例中度角膜水肿（7d内恢复），2例前房小量出血（不影响手术，术后2d内吸收）。结论小瞳孔白内障患者行小切口非超声乳化白内障摘出人工晶状体植入术治疗效果满意，值得推广。
목적：탐토소동공하절구백내장인공정상체수술적림상치료효과。방법선취아원2011년12월～2013년12월접수적소동공백내장환자35례，소유환자균채용소절구비초성유화백내장적출인공정상체식입술진행치료，관찰치료효과。결과술후30d，20례교정시력≥0.5，13례위0.1～0.4，2례＜0.1；균반유불동정도적포도막염반응（7～10d소퇴），2례출현공막수도절구외구폭로（절구무삼루，미주특수처리，7~10d피결막복개），3례중도각막수종（7d내회복），2례전방소량출혈（불영향수술，술후2d내흡수）。결론소동공백내장환자행소절구비초성유화백내장적출인공정상체식입술치료효과만의，치득추엄。
Objective To investigate the clinical effects of small pupil incision cataract intraocular lens surgery. Methods 35 patients with small pupil cataract in our hospital from December 2011 to December 2013 were selected, all patients were treated with small incision non-phacoemulsification cataract extraction and intraocular lens implantation.Observed the treatment effects. Results 30d after surgery,20 cases' corrected visual acuity were ≥0.5,13cases were 0.1-0.4,2cases were<0.1;All were with varying degrees uveitis reaction(7-10d subside),2 patients had scleral tunnel incision mouth exposure(Incision leakage, without making special treatment,7-10d were covered by conjunctiva),3 cases had moderate corneal edema(recovery within 7d ),Two cases had anterior chamber spotting(did not affect the surgery, postoperative 2d absorption). Conclusion The treatment effect is satisfactory of small incision non-phacoemulsification cataract extraction and intraocular lens implantation,it is worthy for promotion.