摘要
目的探讨改良式小切口非超声乳化白内障摘出人工晶状体植入术在高龄硬核白内障的中的临床应用。方法对82例高龄患者104眼硬核白内障施行改良式小切口非超声乳化白内障摘出人工晶状体植入术，并与同期81例高龄患者103眼硬核白内障施行晶状体超声乳化吸出人工晶状体植入术对比，术后随访12个月，比较两种手术时间、角膜内皮细胞的密度、丢失率，以及术后视力。结果两种手术方式的手术时间差异无统计学意义（P〉0．05），在角膜内皮细胞密度、丢失率和术后视力的比较差异有统计学意义（P〈0．05）。结论高龄硬核白内障适宜行改良式小切口非超声乳化白内障摘出人工晶状体植入术，且有损伤小、恢复快等优点。
Objective To investigate the application of improved small incision nonphacoemulsifi- cation cataract extraction and intraoeular lens implantation in senile cataract with hard nucleus. Methods 207 eyes of 163 cases of senile cataract underwent small incision nonphaeoemulsification or phacoemulsifica- tion cataract extraction combined with intraocular lens implantation and the patients were followed up for 12 months. Based on the different procedures, the patients were divided into two groups： small incision non- phacoemulsification group（ 104 eyes of 82 cases） and phacoemulsification group（ 103 eyes of 81 cases）. The time of surgery, the change of density and loss rate in corneal endothelial ceils, and the vision of patients of the two groups were compared. Results The difference of operation time of two groups had no statistical significance（P 〉 0.05 ）. The changes of density and loss rate in corneal endothelial cells and the vision of patients in two groups were statistically significantly different （ P 〈 0.05 ）. Conclusion Small incision nonphaeoemulsification and intraoeular lens implantation is a safe and effective surgical treatment for hard nucleus cataract.
出处
《中华眼外伤职业眼病杂志》
2013年第12期935-938,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
白内障摘出
改良式
小切El
白内障
硬核
内皮细胞
角膜
Cataract, extraction, improved, small incision, Nucleus,＇ hard
Cells, endothelial, corneal
