摘要
目的 探讨白内障超声乳化吸出术的学习方法 ,研究早期手术并发症。方法 经过理论学习 ,动物实验和充当助手 ,选择病例 ,完成最初连续 96例 10 0眼白内障超声乳化吸出术 ,应用球周麻醉 ,角巩膜缘隧道切口 ,连续环形撕囊或截囊 ,水分离或水分层 ,单或双手法乳化晶状体核 ,植入人工晶状体。结果 在手术的前后两阶段 ,连续环形撕囊成功率分别为 38%和 74 % ,主要并发症后囊破裂发生率分别为30 %和 12 % .5 3眼 (5 3% )术后矫正视力达 0 .5以上。结论 遵守循序渐进的学习规律 ,正规训练 ,严格掌握适应证 ,正确处理并发症等有利于早期超声乳化术达到囊外摘出术效果 。
Objective To investigate the methods of learning phacoemulsification and assess the complications. Methods Prior learning included attending lectures (theoretical study) ,wet laboratories and assisting in operations. Under peribulbar anaesthesia,continuous curvilinear capsulorhexis(CCC) or can open capsulotomy ,hydrodissection or hydrodelineation,one or two hand nuclear phacoemulsification and IOL implantation were performed in first 96 consecutive cases (100 eyes). Results First and second half cases,CCC were performed successfully in 38% and 74%, of the cases respectively.The incidence of torn posterior capsule was 30% and 12%, respectively.The best postoperative corrected visual acuities were >0.5 in 53 eyes(53%). Conclusions With learning step by step, an appropriate training programme, careful case selection and accurate managing complications, phacoemulsification can be a safe procedure even during the learning curve. The successful transition to phacoemulsification will be completed.
出处
《眼科新进展》
CAS
2002年第3期204-205,共2页
Recent Advances in Ophthalmology
