实用防盲技术
實用防盲技術
실용방맹기술
JOURNAL OF PRACTICAL PREVENTING BLIND
2015年
1期
22-24
,共3页
小切口白内障%防盲%人工晶体
小切口白內障%防盲%人工晶體
소절구백내장%방맹%인공정체
Small incision cataract surgery%Blindness prevention%IOL
目的：探讨经角膜缘后2mm“一字形”巩膜隧道切口行小切口非超声乳化+人工晶体植入术，在防盲中的治疗效果及应用价值。方法在开展防盲工作中90例（90眼）白内障手术,做“一字形”巩膜隧道小切口，连续环形撕囊或截囊,水分离，用圈套器脱出晶状体核，注吸皮质，囊袋内植入人工晶状体，切口不予缝合。结果术后第一天裸眼视力≥0.3者52眼(57.8％)，0.05-0.3者29眼(32.2％)，≤0.05者9眼(10％)。术后一月裸眼视力≥0.3者74眼(82.2％)，0.05-0.3者11眼(12.2％)，≤0.05者5眼(5.6％)。术后三个月时裸眼视力≥0.3者83眼(92.2％)，0.05-0.3者6眼(6.7％)，≤0.05者1眼(1.1％)。术后1个月角膜散光为(1.30±0.47)D，术后3个月角膜散光为(0.82±0.52)D，与术前比较（0.8.±0.64D）差异无统计学意义(P>0.05)。结论手法小切口自内障+人工晶体植入术，设备简单，易于掌握，手术费用低，疗效可靠。适合基层医院全面开展，是一种可行手术方式。
目的：探討經角膜緣後2mm“一字形”鞏膜隧道切口行小切口非超聲乳化+人工晶體植入術，在防盲中的治療效果及應用價值。方法在開展防盲工作中90例（90眼）白內障手術,做“一字形”鞏膜隧道小切口，連續環形撕囊或截囊,水分離，用圈套器脫齣晶狀體覈，註吸皮質，囊袋內植入人工晶狀體，切口不予縫閤。結果術後第一天裸眼視力≥0.3者52眼(57.8％)，0.05-0.3者29眼(32.2％)，≤0.05者9眼(10％)。術後一月裸眼視力≥0.3者74眼(82.2％)，0.05-0.3者11眼(12.2％)，≤0.05者5眼(5.6％)。術後三箇月時裸眼視力≥0.3者83眼(92.2％)，0.05-0.3者6眼(6.7％)，≤0.05者1眼(1.1％)。術後1箇月角膜散光為(1.30±0.47)D，術後3箇月角膜散光為(0.82±0.52)D，與術前比較（0.8.±0.64D）差異無統計學意義(P>0.05)。結論手法小切口自內障+人工晶體植入術，設備簡單，易于掌握，手術費用低，療效可靠。適閤基層醫院全麵開展，是一種可行手術方式。
목적：탐토경각막연후2mm“일자형”공막수도절구행소절구비초성유화+인공정체식입술，재방맹중적치료효과급응용개치。방법재개전방맹공작중90례（90안）백내장수술,주“일자형”공막수도소절구，련속배형시낭혹절낭,수분리，용권투기탈출정상체핵，주흡피질，낭대내식입인공정상체，절구불여봉합。결과술후제일천라안시력≥0.3자52안(57.8％)，0.05-0.3자29안(32.2％)，≤0.05자9안(10％)。술후일월라안시력≥0.3자74안(82.2％)，0.05-0.3자11안(12.2％)，≤0.05자5안(5.6％)。술후삼개월시라안시력≥0.3자83안(92.2％)，0.05-0.3자6안(6.7％)，≤0.05자1안(1.1％)。술후1개월각막산광위(1.30±0.47)D，술후3개월각막산광위(0.82±0.52)D，여술전비교（0.8.±0.64D）차이무통계학의의(P>0.05)。결론수법소절구자내장+인공정체식입술，설비간단，역우장악，수술비용저，료효가고。괄합기층의원전면개전，시일충가행수술방식。
Objetive To investigate the therapeutic effect and application value of the small incision non-phacoemulsification cataract surgery with IOL implantation via linear scleral tunnel incision in blindness prevention project, Methods In the cataract surgery of 90 cases (90 eyes) for blindness prevention project, linear scleral tunnel incision was made, followed by continuous circular capsulorhexis (CCC) or capsulotomy and hydrodissection. Nucleus was delivered with snare and cortex was absorbed. IOL was implanted into the capsular bag. The incision was left unstitched. Results 1 day postoperatively, the uncorrected visual acuity was ≥0.3 in 52 eyes (57.8%), between 0.05 and 0.3 in 29 eyes (32.2%), and ≤0.05 in 9 eyes (10%). 1 month postoperatively, the uncorrected visual acuity was ≥0.3 in 74 eyes (82.2%), between 0.05 and 0.3 in 11 eyes (12.2%), and ≤0.05 in 5 eyes (5.6%). 3 months postoperatively, the uncorrected visual acuity was ≥0.3 in 83 eyes (92.2%), between 0.05 and 0.3 in 6 eyes (6.7%), and ≤0.05 in 1 eye (1.1%). The corneal astigmatism was (1.30±0.47)D 1 month postoperatively and (0.82±0.52)D 3 months postoperatively. No significant difference was found (P>0.05) comparing to (0.8±0.64D) preoperative data. Conclusion The manual small incision cataract surgery with IOL implantation requires only simple devices and is easy to master, with lower surgery cost and reliable curative effect. It is suitable for the primary hospitals and is a practicable surgical approach.
