摘要
目的 探讨 2 8mm透明角膜切口超声乳化白内障吸除折叠式人工晶状体植入手术效果。方法 对 10 5例 (12 6只眼 )行上述手术患者的术后视力、屈光状态、角膜状态、前房反应、角膜内皮细胞损失率进行回顾性总结。结果 术后 1d、3d、1周、2或 3个月裸眼视力在 0 5以上的眼数分别为 10 2只眼 (81 0 % )、10 8只眼 (85 7% )、112只眼 (88 9% )及 112只眼 (88 9% ) ;术后 3d、1周、1个月、3个月平均散光度数分别为 (1 0 9± 0 5 1)D、(1 0 2± 0 47)D、(0 88± 0 5 2 )D、(0 81± 0 6 3)D。术后 1周、1个月、3个月平均散光度与术前比较 ,差异无显著性 (P >0 0 5 ) ,术后 3个月与术前比较 ,仅存在约0 0 8D的散光变化趋势。术后角膜水肿及前房炎性反应轻 ,房角形态保持良好 ,角膜内皮细胞损失率为 11 9%。结论 该手术切口小、操作简便、术后反应轻、散光小 ,使患者在术后短时间内即可获得最佳视力 ,且屈光状态稳定 。
Objective The results of phacoemulsification which was performed through a 2 8 mm clear cornea tunnel incision and foldable intraocular lens (IOL) implantation were analyzed Methods On 126 eyes with cataract of 105 cases, phacoemulsification with foldable IOL implantation was randomly performed The results of postoperative vision, refraction, corneal edema, anterior chamber flare and the rate of corneal endothelial cell loss were retrospectively summarized Results The uncorrected visual acuities of postoperative 1 day, 3 days, 1 week, 2 3 months, ≥0 5 were in 102 eyes (81 0%), 108 eyes (85 7%), 112 eyes (88 9%) and 112 eyes (88 9%), respectively The mean diopters of astigmatism at postoperative 3 days, 1 week, 1 month and 3 months were (1 09±0 51)D, (1 02±0 47) D, (0 88±0 52)D and (0 81±0 62)D, respectively The mean diopters of astigmatism at postoperative 1 week, 1 month and 3 months compared with that before the surgery had no significant difference ( P >0 05) The comparison between the preoperative astigmatism and that at postoperative 3 months showed that only about 0 08D of change existed The postoperative corneal edema and anterior chamber flare were mild, the anterior chamber configuration remained well, and the rate of endothelial cell loss was 11 9% Conclusions The surgical incision is small and easy to perform Postoperatively, the reaction is mild, the change of astigmatism is small in degree, the best visual acuity can be obtained at the early stage and the refractive status is stable, thus the duration for restoration is greatly shortened
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2000年第4期282-284,共3页
Chinese Journal of Ophthalmology
