【摘要】  目的：探讨巩膜隧道式小切口白内障囊外摘除人工晶状体植入术的手术效果及临床应用。方法：选择2002/2005对246例（256眼）白内障患者采用巩膜隧道式小切口白内障囊外摘除术，同时植入后房型人工晶状体。结果：246例（256眼）患者均达到了脱盲的目的，脱盲率达100%，脱残率达93.8%。取得了良好的效果。 结论：巩膜隧道式小切口白内障摘除人工晶状体植入术效果好、安全、经济，适宜于暂无超乳设备的医院和基层医院开展。

  【关键词】  白内障；小切口；人工晶状体植入

      Application of small incision nonphacoemulsification with intraocular lens implantation

    Ai-Hong Xie, Tao-Yun Li, Hui Tan, Xiao-Xiao Tan, Su-Qin Liu

    Department of Ophthalmology, Pingkuang General Hospital, Pingxiang 337042, Jiangxi Province, China

     AbstractAIM: To study the effects of tunnel small incision cataract extraction associated with intraocular lens implantation (IOP). METHODS: From 2002 to 2005, 246 patients (256 eyes) underwent tunnel small incision cataract extraction associated with IOP. RESULTS: All patients were out of blindness. The rehabilitated rate of blindness reached 100%.and the rehabilitated rate of low vision reached 93.8%.CONCLUSION: The tunnel small incision cataract extraction associated with IOP is effective, safe and economical. Therefore it can be used in basic hospitals and those without phacoemulsification facilities.

    · KEYWORDS: cataract; small incision; intraocular lens implantation

    0引言

    白内障是我国的首要致盲性眼病，目前因白内障致盲的有400多万人，每年新增50余万人，我国政府对此已引起高度重视，于2001年起在全国范围内开展“视觉第一，中国行动”。白内障复明工程，我院眼科于2003年、2004年两次受市残联委派，组织白内障复明手术医疗队，采用改良小切口非超声乳化人工晶状体植入术，成功实施白内障手术246例(256眼),脱残率达93.8%,脱盲率达100%，取得了良好的效果，该方法具有超声乳化的优点，且无须购买昂贵的仪器设备，手术操作简易，易于掌握，术后效果可与超声乳化术媲美[1]，现报告如下。

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