CAJ | 학술논문

目的探讨表面麻醉下3.0 mm带球结膜蒂角膜缘隧道式切口白内障手法碎核乳化摘出联合折叠人工晶状体植入术的手术方法和应用效果.方法对50例(50眼)的Ⅰ-Ⅲ级核的白内障在表面麻醉下行3.0 mm带球结膜蒂角膜缘隧道式切口,经劈核、分核、捣核、搅核等碎核乳化后摘出并植入折叠式人工晶状体.术后不包眼,观察手术并发症及术后视力变化.结果术后6h视力≥0.3者为26眼(52％)；术后1d视力≥0.5者41眼(82％)；术后1周视力≥0.5者46眼(92％)；术后1月视力≥0.5者48眼(96％).无严重术中及术后并发症.结论对Ⅰ-Ⅲ级核白内障手法碎核乳化摘出折叠人工晶状体植入术,是一种较好而实用手术方式.
목적 탐토표면마취하3.0 mm대구결막체각막연수도식절구백내장수법쇄핵유화적출연합절첩인공정상체식입술적수술방법화응용효과.방법 대50례(50안)적Ⅰ-Ⅲ급핵적백내장재표면마취하행3.0 mm대구결막체각막연수도식절구,경벽핵、분핵、도핵、교핵등쇄핵유화후적출병식입절첩식인공정상체.술후불포안,관찰수술병발증급술후시력변화.결과 술후6h시력≥0.3자위26안(52％)；술후1d시력≥0.5자41안(82％)；술후1주시력≥0.5자46안(92％)；술후1월시력≥0.5자48안(96％).무엄중술중급술후병발증.결론 대Ⅰ-Ⅲ급핵백내장수법쇄핵유화적출절첩인공정상체식입술,시일충교호이실용수술방식.
Objective To explore the surgical approach and effectiveness of the cataract extraction after manual fragmentation and emulsification of nucleus with 3.0 mm tunnel limbus incision through predicted bulbar conjunctiva after surface anesthesia,integrated with the implantation of preloaded foldable artificial intraocular lens.Methods Mter surface anesthesia,a 3.0 mm tunnel limbus incision was operated through the predicted bulbar conjunctiva and sclera on 50 eyes of 50 cases with Ⅰ ～ Ⅲ nuclear cataract.And after the fragmentation and emulsification of nucleus which consists of splitting,separating,smashing,and disturbing of the nucleus,the preloaded foldable intraocular lens was implanted.After the operation,without enswathement,the eye was monitored for postoperative complications and variation of eyesight.Results 6 hours after the operation,26 eyes had their eyesight ≥0.3,taking up 52％ of the whole; one day after operation,41 eyes had their eyesight ≥0.5,taking up 82％ of the whole ; one week after operation,46 eyes had their visual acuity ≥0.5,taking up 92％ of the whole; one month after operation,48 eyes had their visual acuity ≥0.5,taking up 96％ of the whole.There was no complication during-operation or postoperatively.Conclusion Manual fragmentation and emulsification of nucleus with foldable intraocular lens implantation is a fairly ideal and practical surgery.