摘要
目的探讨在援非工作过程中进行小切口白内障囊外摘出联合人工晶状体植入术的手术效果与可行性。方法2009年3月至2011年3月作者在援非期间对年龄45～86岁的摩洛哥患者538人（580眼）进行小切口白内障囊外摘出联合人工晶状体植入术，并对术后视力、术后并发症的治疗情况作了观察。结果术后1周视力1．0以上者25眼，占4．31％，0．6～1．0者148眼占25．52％，0．3—0．5者328眼，占56．55％，0．05～0．25者74眼占12．76％，〈0．05者5眼占0．86％。本组患者脱盲率为99．14％，脱残率86．38％。术中并发症：虹膜脱出23眼占3．97％，经处理后复位；后囊破裂33眼占5．69％，其中28眼仍然行I期后房型人工晶状体植入，2眼II期植入，3眼放弃植入。术后并发症：角膜内皮水肿浑浊21眼占3．62％，无角膜大泡或角膜失代偿病例发生。前房炎性反应51眼占8．79％，其中迟发性葡萄膜炎11眼，9眼与糖尿病有关；瞳孔欠圆21眼占3．62％。所有患者经随访未发现视网膜脱离、继发性青光眼、人工晶状体脱位或眼内炎。结论小切口白内障囊外摘出联合人工晶状体植入损伤小、恢复快、易于操作、费用较低，适合基层医院、经济条件较差的地区和人群，使当地的贫困百姓白内障重见光明成为可能。
Objective To investigate the small incision extracapsular cataract extraction and in- traocular lens implantation in the clinical effect and feasibility of poverty-stricken areas of Africa. Methods During the foreign aid in Moroccan from march 2009 to march 2011, the age of 45 to 86-year-old Moroc- can patients with 538 cases （580 eyes） had undergone small incision extracapsular cataract extraction and intraocular lens implantation. The visual acuity, postoperative complications were observed. Results Visual acuity ofl.0 or more were obtained in 25 eyes （4.31%）, 0.6-1.0in 148 eyes （25.52%）, 0.3 -0.5 in 328 eyes （56. 55% ） , 0.05 - 0.25 in 74 eyes （ 12.76% ）, 〈 0.05 in 5 eyes （0.86%）. Literacy rate was 99. 14% , removing residual was 86.38%. Intraoperative complications： iris prolapse 23 eyes （3.97%） ; pos- terior capsular rupture 33 eyes （5.69%） , among which 28 eyes were applied posterior chamber intraocular lens implantation at stage I, two cases at stage II, the other three eases gave up implantation. Postoperative complications： corneal edema, opacity 21 eyes （3.62%） , no corneal bullae or corneal decompensation oc- curred. Anterior chamber inflammatory response 51 eyes （ 8.79% ）. Late-onset uveitis 11 eyes, of which 9 re- lated to diabetes. All patients were found no retinal detachment, secondary glaucoma, intraocular lens disloca- tion or endophthalmitis. Conclusion Small incision extracapsular cataract extraction with IOL implantation in the joint damage, quick recovery, easy to operate, low cost, suitable for the hospital, poor economic condi- tions, the places and people, it become possible to make the local poor people cataract bright.
出处
《中华眼外伤职业眼病杂志》
2012年第12期906-908,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
援非
白内障
白内障摘出术
囊外
小切口
晶状体
人工
Aid for Afriea
Cataract
Cataract extraction, extracapsular, small incision
Intraocular lens implantation
