中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
11期
1448-1451
,共4页
改良白内障囊外摘除术%硬核白内障
改良白內障囊外摘除術%硬覈白內障
개량백내장낭외적제술%경핵백내장
Ameliorated sutureless incision extracapsular cataract extraction%Hard nuclei%Lifeline Express
目的 评价改良不缝合白内障囊外摘除术在健康快车硬核白内障疗效.方法 选择2012年10～11月在福建省龙岩市健康快车光明行动中,72只眼(72例)Ⅳ级以上硬核白内障患眼,行改良不缝合白内障囊外摘除术,随访术后裸眼视力、眼压、手术并发症及术眼恢复过程等情况.结果 术后第1天59只眼裸眼视力≥0.3,占全部术眼的81.94％;术后1周复诊,其中术后1天视力＜0.3的13只眼中11只眼裸眼视力≥0.3;术后第1天,6只眼眼压升高,经高渗剂及抑制房水生成药物治疗后好转,术后1周眼压较术前无明显改变;术中无后囊破裂及虹膜脱出发生,1只眼切口需要缝合;术后1周术眼角膜水肿及房水闪辉基本消失.结论 在健康快车等短期大量白内障手术的复明行动中,改良不缝合白内障囊外摘除术适用于硬核白内障患者.该术式安全有效,术后早期即可获得满意的效果.
目的 評價改良不縫閤白內障囊外摘除術在健康快車硬覈白內障療效.方法 選擇2012年10～11月在福建省龍巖市健康快車光明行動中,72隻眼(72例)Ⅳ級以上硬覈白內障患眼,行改良不縫閤白內障囊外摘除術,隨訪術後裸眼視力、眼壓、手術併髮癥及術眼恢複過程等情況.結果 術後第1天59隻眼裸眼視力≥0.3,佔全部術眼的81.94％;術後1週複診,其中術後1天視力＜0.3的13隻眼中11隻眼裸眼視力≥0.3;術後第1天,6隻眼眼壓升高,經高滲劑及抑製房水生成藥物治療後好轉,術後1週眼壓較術前無明顯改變;術中無後囊破裂及虹膜脫齣髮生,1隻眼切口需要縫閤;術後1週術眼角膜水腫及房水閃輝基本消失.結論 在健康快車等短期大量白內障手術的複明行動中,改良不縫閤白內障囊外摘除術適用于硬覈白內障患者.該術式安全有效,術後早期即可穫得滿意的效果.
목적 평개개량불봉합백내장낭외적제술재건강쾌차경핵백내장료효.방법 선택2012년10～11월재복건성룡암시건강쾌차광명행동중,72지안(72례)Ⅳ급이상경핵백내장환안,행개량불봉합백내장낭외적제술,수방술후라안시력、안압、수술병발증급술안회복과정등정황.결과 술후제1천59지안라안시력≥0.3,점전부술안적81.94％;술후1주복진,기중술후1천시력＜0.3적13지안중11지안라안시력≥0.3;술후제1천,6지안안압승고,경고삼제급억제방수생성약물치료후호전,술후1주안압교술전무명현개변;술중무후낭파렬급홍막탈출발생,1지안절구수요봉합;술후1주술안각막수종급방수섬휘기본소실.결론 재건강쾌차등단기대량백내장수술적복명행동중,개량불봉합백내장낭외적제술괄용우경핵백내장환자.해술식안전유효,술후조기즉가획득만의적효과.
Objective To evaluate the outcome of ameliorated sutureless incision extracapsular cataract extraction for hard nuclei on Lifeline Express.Methods A total of 72 eyes from 72 cases of hard nuclei of age-related cataract on Lifeline Express in Longyan,Fujian Province were involved in this study,for which ameliorated sutureless incision extracapsular cataract extraction combined with intraocular lens implantation was performed.Visual acuity,intraocular pressure,complications and clinical signs were followed up for 1 day and 1 week post-operation and analyzed.Results On day 1 post operation,59 eyes (81.94％) got uncorrected visual acuity (UCVA) better than 0.3.And 11 eyes got UCVA visual acuity better than 0.3 on day 7 post operation,which had UCVA worse than 0.3 on 1 day.Six eyes got higher intraocular pressure on day 1 post operation,which were controlled by 20％ of mannital and other aqueous humor inhibitants in 2 to 3 days.No significant change was found for intraocular pressure between pre-and 1 week post operation.No posterior capsule rupture occurred and iris prolapsed during surgeries.Surgery-related corneal edema and anterior chamber flares disappeared in the following week.Conclusions Ameliorated sutureless incision extracapsular cataract extraction is safe and effective for hard nuclei cataract victims during short-term,large-volume Vision Action.
