CAJ | 학술논문

目的探讨白内障手法碎核、小切口非超声乳化摘出并折叠人工晶状体植入的临床效果.方法对61例(67眼)白内障,经3.2～4.5 mm切口,用晶状体调位钩和晶状体圈匙配合碎核娩出,植入折叠人工晶状体,观察术后视力、角膜散光及并发症情况.结果手术均顺利完成.术后ld视力≥0.5者55眼,占82.08％.术后1周视力≥0.5者62眼,占92.54％；≥0.8者34眼,占50.75％.术后1个月、3个月视力较1周时无明显变化.术后1周的平均角膜散光度为(0.92±0.65)D,术后3月的平均散光度为(0.81±0.52)D.术中后囊破裂2眼,占2.99％.术后次日角膜水肿5眼,占7.46％.结论白内障手法碎核折叠人工状晶体植入是安全的、可行的.
목적 탐토백내장수법쇄핵、소절구비초성유화적출병절첩인공정상체식입적림상효과.방법 대61례(67안)백내장,경3.2～4.5 mm절구,용정상체조위구화정상체권시배합쇄핵면출,식입절첩인공정상체,관찰술후시력、각막산광급병발증정황.결과 수술균순리완성.술후ld시력≥0.5자55안,점82.08％.술후1주시력≥0.5자62안,점92.54％；≥0.8자34안,점50.75％.술후1개월、3개월시력교1주시무명현변화.술후1주적평균각막산광도위(0.92±0.65)D,술후3월적평균산광도위(0.81±0.52)D.술중후낭파렬2안,점2.99％.술후차일각막수종5안,점7.46％.결론 백내장수법쇄핵절첩인공상정체식입시안전적、가행적.
Objective To discuss the clinical effect of the technology of treatment for cataract by manual nuclear fragmentation and implantation of foldable intraocular lens through small incision.Methods 67 eyes of 61 cataract patients had undergone the making of 3.2 mm to 4.5 mm incision,nucleus fragmentation by lens transposition hook and lens wire spoon,and implantion of the foldable intraocular lens.They were observed for the vision,corneal astigmatism and complications after the surgery.Results The surgery of all cases was done smoothly.One d after the surgery,55 eyes had got a vision of no less than 0.5,accounted for 82.08％ ; 1 week after the surgery,62 eyes no less than 0.5,accounted for 92.54％ ;34 eyes were of no less than 0.8,accounted for 50.75％ ; After 1 month and 3 month for reviewing,the vision had no obvious change.The corneal astigmatism was (0.92 ± 0.65) D one week after the surgery.It was (0.81 ± 0.52) D three months after the surgery.The number of the posterior capsular rupture in the operation was 2 eyes,accounted for 2.99％.The number of corneal edema was 5 eyes 1 day after the surgery,accounted for 7.46％.Conclusion The manual technique of nucleus fragmentation and implantion of folding intraocular lens is safe and feasible for treatment of cataract.