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小切口非超声乳化白内障手术900例的临床分析 被引量:5

Clinical analysis of 900 cases of small incision non-phacoemulsification Cataract surgery
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摘要 目的方法结果结论小切口非超声乳化白内障手术900例的临床疗效分析。2008年4月至10月我院开展900例小切口非超声乳化白内障手术,对其临床资料进行分析。术后视力均有不同程度提高,视力≥0.05者893例,复明率99.22%,视力≥0.3者790例,脱残率87.78%;植入人工晶体者864例,植入率96.00%;术中、术后少数出现不同程度的并发症,虹膜炎61例、角膜内皮轻度水肿53例、屈光不正≥±1.50D者46例、后囊膜破裂37例、虹膜损伤29例(其中虹膜根部断离7例、出血12例)、前房出血28例、一过性高眼压21例、透明皮质残留4例等,经对症处理后均得到好转或治愈,未见大泡性角膜炎、眼内炎等严重并发症。临床显示小切口非超声乳化手术疗效显著,适应症广泛,并发症少,成本低,较适合应用于基层医院开展防盲治盲和集中开展民生工程。 Objective To analyze clinical effect of 900 cases of small incision non-phacoemulsification in the project of livelihood of the people. Method 900 cataract patients accepted small incision non-phacoemulsification surgery from April,2008 to October,2008. all clinical data. Results All eases had vision improvement. 893 cases(99.22%) whose visual activity was better than 0.05 could obtain Bright Light. 790 eases(87.78%) whose visual activity was better than 0.3 could get rid of disability.864 eases (96%) implanted intraocular lens. Main postoperative complications included 61 eyes of iritis ,53 eyes of corneal edema, 46 eyes of ametropia, 37 eyes of post- capsular rupture, 29 eyes of iris damage ,21 eyes of intraocular hypertension, 28 eyes of hyphema and 4 eyes of crystalline lens residual. All complications could be cured by active treatment. Conclusion Small incision non-phaeoemulsification surgery which can be used for blindness prevention and the project of livelihood of the people has a lot of merit,such as good curative effect, extensive indication, few complication,low cost.
出处 《实用防盲技术》 2009年第3期3-5,29,共4页 Journal of Practical Preventing Blind
关键词 小切口非超声乳化 白内障 临床疗效 Small incision non-phacoemulsification Cataract Clinical effect
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