| 非超声乳化小切口囊外白内障摘出人工晶状体植入术分析 |
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| http://www.cnophol.com 2008-7-15 11:47:58 中华眼科在线 |
张文强
作者单位：（430070）中国湖北省武汉市，广州军区武汉总医院眼科
作者简介：张文强，男，眼科学硕士，主治医师。
通讯作者：张文强. [email protected]
收稿日期：2006-11-17 修回日期：2007-03-13
Non-phacoemulsification small incision extracapsular cataract extraction and intraocular lens implantation
Wen-Qiang Zhang
Department of Ophthalmology, Wuhan General Hospital of Guangzhou Military Command, Wuhan 430070, Hubei Province, China
Correspondence to: Wen-Qiang Zhang. Department of Ophthalmology, Wuhan General Hospital of Guangzhou Military Command, Wuhan 430070, Hubei Province, China. [email protected]
Received:2006-11-17 Accepted:2007-03-13
Abstract
· AIM: To evaluate the clinical effects and complications of non-phacoemulsification small incision extracapsular cataract extraction(ECCE) and intraocular lens implantation to treat cataract.
· METHODS: Through 6-8mm scleral tunnel incisions at 9:00-12:00, 90 cases(90 eyes) of cataracts were treated with intraocular lens implantation after continuous circular capsulorhexis or turn-on jar form to deal cataract anterior capsule and extraction of lens nucleus.
· RESULTS: Three days postoperatively, the visual acuity was <0.05 in 3 eyes, ≥0.05-<0.3 in 66 eyes, ≥0.3 in 21 eyes; one month postoperatively, the visual acuity was <0.05 in 2 eyes, ≥0.05-<0.3 in 32 eyes,≥0.3 in 56 eyes. The main complications were corneal edema, anterior chamber inflammation and posterior capsular rupture etc. Two eyes were failed to perform on intraocular lens implantation.
· CONCLUSION: It is simple and has satisfied effects to treat cataract that non-phacoemulsification small incision ECCE and intraocular lens implantation, and it was worth clinical promoting to prevent blindness.
· KEYWORDS: cataract; non-phacoemulsification small incision ECCE; intraocular lens implantation
Zhang WQ. Non-phacoemulsification small incision extracapsular cataract extraction and intraocular lens implantation. Int J Ophthalmol (Guoji Yanke Zazhi) ,2007;7(2):560-562
摘要
目的：分析非超声乳化小切口囊外白内障摘出人工晶状体植入术治疗白内障的疗效及并发症。
方法：白内障患者90例（90眼）于9点至12点角膜缘后
作6～8mm的巩膜隧道切口，撕囊或截囊后以晶状体圈匙娩出晶状体核，注吸皮质植入人工晶状体。
结果: 术后3d视力：3眼<0.05，66眼≥0.05～<0.3，21眼视力≥0.3；术后1mo复查时视力2眼<0.05，32眼 ≥0.05～<0.3，56眼≥0.3。主要并发症有角膜水肿、前房炎症反应、后囊膜破裂玻璃体脱出等，2眼人工晶状体植入失败。
结论：非超声乳化小切口囊外白内障摘出人工晶状体植入术设备简单易于操作，效果满意，适宜于开展白内障防盲治盲工作的需要。
关键词：白内障；非超声乳化小切口白内障囊外摘除；人工晶状体植入
张文强.非超声乳化小切口囊外白内障摘出人工晶状体植入术分析.国际眼科杂志,2007;7(2):560-562
参考文献
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6刘太平,刘志英,梁卫丰,高鹰.角膜上方与颞侧巩膜隧道切口非超声乳化白内障摘出矫治术前散光.眼科新进展,2004;24(4):291-292
7杨敏,吴德义.小切口白内障摘除术两种切口位置术后散光的比较.临床眼科杂志,2004;12(6):547-548
8徐方,杨冠,顾国焕,徐敏,陈英华.白内障切口方位的研究——12点与10点半切口损伤睫状前血管的对比.眼外伤职业眼病杂志,2002;24(5):505-506
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