国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
677-679
,共3页
小切口%白内障囊外摘除术%劈核
小切口%白內障囊外摘除術%劈覈
소절구%백내장낭외적제술%벽핵
small incision%extracapsular cataract extraction%chop nucleus
目的：探讨小切口圈垫式劈核白内障囊外摘除人工晶状体植入术的手术效果。<br> 方法：对75例80眼白内障应用圈垫器和劈核刀进行劈核取出，植入后房型人工晶状体，观察术后视力、散光度、及术中、术后并发症。随访3～12 mo。<br> 结果：术后第1d视力0．3～0．5者37眼，≥0．6者21眼，术后1mo 0．3～0．5者43眼，≥0．6者26眼。角膜散光在术后1wk为1．75±0．55D，与术前0．85±0．29D相比有显著差异（P＜0．05），术后1mo 0．92±0．48D和3mo 0．89±0.35D与术前比较无显著差异（P＞0．05）。4眼术中后囊破裂，1眼人工晶状体植入囊袋内，3眼人工晶状体植入睫状沟内。术后角膜内皮波纹状水肿2眼，术后3d左右消退；斑块状水肿2眼，术后2 wk 内消退。一过性高眼压2眼。<br> 结论：小切口圈垫式劈核白内障囊外摘除人工晶状体植入术治疗白内障术后效果好，手术成本低，操作简便，并发症小，值得临床推广应用。
目的：探討小切口圈墊式劈覈白內障囊外摘除人工晶狀體植入術的手術效果。<br> 方法：對75例80眼白內障應用圈墊器和劈覈刀進行劈覈取齣，植入後房型人工晶狀體，觀察術後視力、散光度、及術中、術後併髮癥。隨訪3～12 mo。<br> 結果：術後第1d視力0．3～0．5者37眼，≥0．6者21眼，術後1mo 0．3～0．5者43眼，≥0．6者26眼。角膜散光在術後1wk為1．75±0．55D，與術前0．85±0．29D相比有顯著差異（P＜0．05），術後1mo 0．92±0．48D和3mo 0．89±0.35D與術前比較無顯著差異（P＞0．05）。4眼術中後囊破裂，1眼人工晶狀體植入囊袋內，3眼人工晶狀體植入睫狀溝內。術後角膜內皮波紋狀水腫2眼，術後3d左右消退；斑塊狀水腫2眼，術後2 wk 內消退。一過性高眼壓2眼。<br> 結論：小切口圈墊式劈覈白內障囊外摘除人工晶狀體植入術治療白內障術後效果好，手術成本低，操作簡便，併髮癥小，值得臨床推廣應用。
목적：탐토소절구권점식벽핵백내장낭외적제인공정상체식입술적수술효과。<br> 방법：대75례80안백내장응용권점기화벽핵도진행벽핵취출，식입후방형인공정상체，관찰술후시력、산광도、급술중、술후병발증。수방3～12 mo。<br> 결과：술후제1d시력0．3～0．5자37안，≥0．6자21안，술후1mo 0．3～0．5자43안，≥0．6자26안。각막산광재술후1wk위1．75±0．55D，여술전0．85±0．29D상비유현저차이（P＜0．05），술후1mo 0．92±0．48D화3mo 0．89±0.35D여술전비교무현저차이（P＞0．05）。4안술중후낭파렬，1안인공정상체식입낭대내，3안인공정상체식입첩상구내。술후각막내피파문상수종2안，술후3d좌우소퇴；반괴상수종2안，술후2 wk 내소퇴。일과성고안압2안。<br> 결론：소절구권점식벽핵백내장낭외적제인공정상체식입술치료백내장술후효과호，수술성본저，조작간편，병발증소，치득림상추엄응용。
AIM:To study the clinical effects of chopping with lens loop-pad in the small incision extracapsular cataract surgery with intraocular lens implantation. <br> METHODS:A total of 75 cases (80 eyes), in which loop-pad and chop knife were performed to chop nucleus before implanting intraocular lens. Visual acuity, postoperative astigmatism degree, intraoperative and postoperative complications were observed. The post-operative follow-up periods ranged from 3 to 12mo. <br> RESULTS:The visual acuity was 0.3-0.5 in 37 eyes and 0.6 or better in 21 eyes at 1d, while was respectively in 43 eyes and in 26 eyes at 1mo.Compared with preoperative astigmatism ( 0.85 ±0.29D ), there were significant difference at postoperative 1wk (1.75±0.55D) (P<0.05), while there were no significant difference at postoperative 1mo (0.92±0.48D) and 3mo (0.89±0.35D) (P>0.05). Intraoperative posterior capsule rupture occurred in 4 eyes, which implantation was successful in 1 eye and 3 eyes was managed viaciliary sulcus. Two eyes had dermatoglyphic pattern edema in corneal endothelium which recovered after about 3d. Two eyes had local patchy opacities which recovered in 2wk.Two eyes had transient high intraocular pressure. <br> CONCLUSION: The surgery is efficient, low cost, easy process and less complications, it is worth to be popularized.
