摘要
目的探讨高龄患者白内障手术前综合因素评估的临床价值。方法分析78例（85眼）高龄患者行白内障手术的相关临床资料。结果76例（83眼）高龄患者白内障都安全施行超声乳化或小切口白内障摘出联合人工晶状体植入术，2例（2眼）施行超声乳化＋人工晶状体植入联合小梁切除术。12例术中出现血压升高，心率加快。术后随访1—12个月，术后视力：〈0．05者4眼（4．7％），0．05～0．25者17眼（20．0％），≥0．3者64眼（75．3％）。术中术后无严重全身和局部并发症发生。结论高龄患者白内障手术前要进行综合因素评估，严格掌握手术适应证和禁忌证，作好围手术期的处理，术中心电监护，持续低流量吸氧，手术是安全有效的。
Objective To observe the clinical effects of preoperative comprehensive evaluation of cataract surgery in advanced age patients. Methods To analyze the clinical data of 78 cases （85 eyes ） with advanced age which were treated by cataract surgery in past 5 years. Results 76 cases （83 eyes） with advanced age were treated with phacoemulsification or smill incision cataract surgery with intraocular lens （IOL） implantation, 2 eases （2 eyes） were treated with phacoemulsification and IOL-implantation combined with trabeculectomy . During treatment 12 eases increase in blood pressure and heart rate. after follow-up for 1 -12 months （an average of 4.5 months）, the visual acuity： 〈0.05 4 eyes （4.7%）, 0.05 -0.25 17eyes （20.0%）, 90.3 64 eyes （75.3%）. There were no severe complications during and after the operation. Conclusion Before operation we need comprehensives in advanced age patient , strictly control the operation indications and contraindications, do the peri-operative care, electrocardiographic monitor and constant inhalation of low dos oxygen, surgery is safe and effective.
出处
《中华眼外伤职业眼病杂志》
2012年第4期289-291,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
高龄
白内障
手术
对策
Age, advanced
Cataract
Surgery
Countermeasure
