CAJ | 학술논문

目的观察小切口手法碎核白内障囊外摘除人工晶体植入手术的疗效.方法对76例85眼行小切口手法碎核白内障囊外摘除人工晶体植入术.术中小切口下充分水分离白内障核后用晶状体圈匙托起晶状体核,手法碎核后摘出晶状体核,植入人工晶体.观察碎核情况、术后视力和手术并发症.结果76例(85眼)术后两天最佳矫正视力≥0.5者(68眼,80%),术后一周矫正视力≥0.5者(75眼,88%),术后3月矫正视力≥0.5者(80眼,94%).结论手法碎核小切口白内障囊外摘除人工晶体植入术不需要特殊器械,操作简单,术后视力恢复快,角膜散光少、角膜水肿发生率低、并发症少,值得临床推广.
목적관찰소절구수법쇄핵백내장낭외적제인공정체식입수술적료효.방법대76례85안행소절구수법쇄핵백내장낭외적제인공정체식입술.술중소절구하충분수분리백내장핵후용정상체권시탁기정상체핵,수법쇄핵후적출정상체핵,식입인공정체.관찰쇄핵정황、술후시력화수술병발증.결과76례(85안)술후량천최가교정시력≥0.5자(68안,80%),술후일주교정시력≥0.5자(75안,88%),술후3월교정시력≥0.5자(80안,94%).결론수법쇄핵소절구백내장낭외적제인공정체식입술불수요특수기계,조작간단,술후시력회복쾌,각막산광소、각막수종발생솔저、병발증소,치득림상추엄.
Objemive To evaluate the efficacy of small incision and manual nuclear chopping combined with extracapsular cataract extraction and intraocular lens implantation.Mahoth 76 cataractpatients(85eyes)who had undergone small incision and manual nuclear chopping combined with extracapsu-larcataract extraction and intraoeular lens implantation were observed.During the surgery,cataract nucleus wasseparated by water via snlaU incisiom and lens nucleus was lifted by infusion lells loop.then the lells nucleuswas chopped by an irisrepooitoc lens nucleus was,extracted and intraoeular lens was implanted.The choppingnucleus situation,postoperative visual aeuity and complications were observed.Results The corrected visual acuity=0.5 was in 85 eyes(68,80%)two days after surgery, The corrected visual acuity=0.5 was in 85 eyes(75,88%)a week after surgery The corrected visual acuity=0.5 was in 85 eyes(80,94%)two days after surgery,slight.Conclusions Small incision and manual nuclearchopping combined with intraocular lens implantation doesn't need special instrument and is simple.Thisprocedure call reduce postoperative astigmatism,comeal edema,and other complications;shorten the periodof visual rehabilitation;and have the same efficacy as that of phacoemulsification.