CAJ | 학술논문

目的探讨小直径撕囊口对超声乳化治疗白内障手术效果的影响.方法临床病例对照研究.对2013年3～4月在安阳市眼科医院就诊的100例(100只眼)病人行超声乳化+人工晶状体植入术.术后根据囊袋撕口直径,将病人分为正常组(5.5～6 mm) 84例(84只眼);小直径组(≤5 mm)16例(16只眼).观察两组病人术后的最佳矫正视力、囊袋收缩、人工晶状体移位、悬韧带断裂和后发性白内障等情况.结果小直径组撕囊口术后最佳矫正视力、囊袋收缩程度、人工晶状体移位和后发障构成等并发症明显高于正常组,差异显著有统计学意义(x2=35.07、54.85、29.42、38.07,均P ＜0.05).结论超声乳化手术中晶状体撕囊口偏小,可造成术眼晶状体囊袋收缩、人工晶状体移位、悬韧带断裂和后发性白内障,严重影响病人视功能.
목적 탐토소직경시낭구대초성유화치료백내장수술효과적영향.방법 림상병례대조연구.대2013년3～4월재안양시안과의원취진적100례(100지안)병인행초성유화+인공정상체식입술.술후근거낭대시구직경,장병인분위정상조(5.5～6 mm) 84례(84지안);소직경조(≤5 mm)16례(16지안).관찰량조병인술후적최가교정시력、낭대수축、인공정상체이위、현인대단렬화후발성백내장등정황.결과 소직경조시낭구술후최가교정시력、낭대수축정도、인공정상체이위화후발장구성등병발증명현고우정상조,차이현저유통계학의의(x2=35.07、54.85、29.42、38.07,균P ＜0.05).결론 초성유화수술중정상체시낭구편소,가조성술안정상체낭대수축、인공정상체이위、현인대단렬화후발성백내장,엄중영향병인시공능.
Objective To observe the effect of less diameter circular capsulorhexis on the treatment of cataract with PHACO.Methods One hundredpatients received surgerywith PHACO combined with IOL.These patients were dividedinto two groups,normal group (5.5-6mm) and few diametergroup(＜5mm) by the tear diameterofanterior capsule bag in circular capsulorhexis,the vision,capsule contraction,IOL displaced,suspensorium disruption and after-cataract were observed.Results The complications of less diameter group were more than normal group,the difference was staticticallysignificant (x2=35.07,54.85,29.42,38.07; all P ＜0.01).Conclusions Less tear diameter of anterior capsule bag can result capsule contraction,IOL displaced,suspensorium disruption and after-cataract,it would damage the visual function of these patients.