CAJ | 학술논문

目的评价白内障超声乳化手术中改良的林格氏灌注液对角膜的影响。方法73例（73只眼）无系统性疾病或者眼部其它异常接受超声乳化手术的老年性白内障患者，按术中使用灌注液的不同分为2组，平衡盐液组（38只眼）和改良林格氏液组（35只眼），用接触式角膜内皮镜和超声角膜测厚仪分别在术前、术后1 d、1个月和3个月测量角膜内皮细胞密度、角膜厚度及内皮细胞变异率。结果术后1 d、1个月和3个月、角膜内皮细胞密度、角膜厚度及细胞面积变异率两组间均无显著性差异（P ＜0．05）。结论在老年性白内障超声乳化手术中，平衡盐液和改良的林格氏液灌注对角膜的影响程度相似；改良的林格氏液可以替代平衡盐液用于老年性白内障超声乳化术中的前房灌注。
목적평개백내장초성유화수술중개량적림격씨관주액대각막적영향。방법73례（73지안）무계통성질병혹자안부기타이상접수초성유화수술적노년성백내장환자，안술중사용관주액적불동분위2조，평형염액조（38지안）화개량림격씨액조（35지안），용접촉식각막내피경화초성각막측후의분별재술전、술후1 d、1개월화3개월측량각막내피세포밀도、각막후도급내피세포변이솔。결과술후1 d、1개월화3개월、각막내피세포밀도、각막후도급세포면적변이솔량조간균무현저성차이（P ＜0．05）。결론재노년성백내장초성유화수술중，평형염액화개량적림격씨액관주대각막적영향정도상사；개량적림격씨액가이체대평형염액용우노년성백내장초성유화술중적전방관주。
Objective To evaluate the effect of modified lactated Ringer’s solution (MLR)on cornea after phaco-emulsification. Methods Seventy-three patients (73 eyes)with senile cataract were divided into two groups based to re-ceive intraocular irrigation with either BBS (n = 38)or MLR (n = 35)during phacoemulsification. Endothelial specular microphotographs were used to detect the endothelial cell density,central endothelial cell size variability. Ultrasonic pachy-metry was used to determine corneal thickness at baseline and at 1 day,1 month and 6 months after surgery. Results There were no differences in endothelial cell density,central endothelial cell size variability or central cornea thickness (P> 0. 05)Conclusion BSS is similar in affecting the cornea to MLR when they are used for intraocular irrigation during phacoemulsification. MLR is an alternative to BSS for intraocular irrigation.