CAJ | 학술논문

目的：探究白内障超声乳化摘除人工晶体植入术的并发症类型、成因及相应处理措施。方法回顾性分析该院2013年8月-2014年8月的一组白内障住院病例，共实施行白内障超声乳化手术307例(416眼)，术后出现并发症的46例(50眼)患者临床资料，以探寻术后并发症类型及处理措施。结果所有46例(50眼)白内障患者并发症类型如下：角膜内皮水肿28眼(56%)、晶状体后囊膜破裂8眼(16%)、葡萄膜炎6眼(12%)、暂时性高眼压4眼(8%)、黄斑囊样水肿2眼(4%)、人工晶体移位1眼(2%)、角膜内皮失代偿1眼(2%)。结论角膜内皮水肿是白内障超声乳化摘除人工晶体植入术后主要并发症类型，提高临床医师手术熟练度及主观思想认知是降低术后并发症发生的关键。
목적：탐구백내장초성유화적제인공정체식입술적병발증류형、성인급상응처리조시。방법회고성분석해원2013년8월-2014년8월적일조백내장주원병례，공실시행백내장초성유화수술307례(416안)，술후출현병발증적46례(50안)환자림상자료，이탐심술후병발증류형급처리조시。결과소유46례(50안)백내장환자병발증류형여하：각막내피수종28안(56%)、정상체후낭막파렬8안(16%)、포도막염6안(12%)、잠시성고안압4안(8%)、황반낭양수종2안(4%)、인공정체이위1안(2%)、각막내피실대상1안(2%)。결론각막내피수종시백내장초성유화적제인공정체식입술후주요병발증류형，제고림상의사수술숙련도급주관사상인지시강저술후병발증발생적관건。
Objective To explore the phacoemulsification and intraocular lens implantation complications of type and the corre-sponding treatment measures. Methods A retrospective analysis of our hospital a group of cataract patients hospitalized from Au-gust 2013 to August 2014, the line of phacoemulsification 307 cases (416) were implemented, 46 cases of complications (50) in patients with postoperative clinical data to explore the types of complications and treatment measures. Results All 46 cases (50) type of cataract patients with complications following: corneal endothelial edema 28 (56%), posterior capsular rupture in 8 (16%), uveitis, six (12%), temporary high intraocular pressure four (8%), cystoid macular edema 2 (4%), intraocular lens shift one (2%), corneal endothelial decompensation 1 (2%). Conclusion The corneal endothelial edema is phacoemulsification and intraocular lens implantation major complication types, surgical clinicians improve proficiency and subjective cognitive thinking is the key to re-duce the incidence of postoperative complications.