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小切口白内障摘除联合人工晶状体植入术后对角膜散光的影响 被引量:2

Effect of small incision cataract extraction combined with intraocular lens implantation on corneal astigmatism
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摘要 目的探讨不同小切口非超声乳化白内障手术对散光、视力及并发症的影响。方法研究对象选自我院2015年2月~2016年5月收治的100例白内障手术患者,采取随机数字表将其分成观察组(n=50)与对照组(n=50)。其中观察组采取改良小切口非超声乳化白内障手术治疗,对照组采取传统无缝线小切口非超声乳化白内障手术治疗,比较两组患者手术前后散光、视力及并发症发生情况。结果观察组术后不同时点术眼角膜散光值均显著低于对照组(P<0.05)。观察组术后不同时点术眼裸眼视力均显著高于对照组(P<0.01)。观察组并发症发生率为12.70%,与对照组的32.79%相比显著降低(P<0.01)。结论对白内障患者实施改良小切口非超声乳化白内障手术可有效避免术后早期手术性散光,减少围手术期并发症,值得推广应用。 Objetive To investigate the effect of different kinds of small incision non-phacoemulsification cataract surgery on astigmatism, postoperative visual acuity and complications. Method One hundred eyes of 100 patients with cataract from February 2015 to May 2016 in our hospital were randomly divided into two groups. The observation group (50 eyes) underwent modified small incision non - phacoemulsification cataract surgery, while the control group (50 eyes) underwent traditional sutureless small incision non - phacoemulsification cataract surgery. The astigmatism and visual acuity before and after the surgery, intraoperative complications were evaluated. Results The corneal astigmatism of the observation group were significantly lower than that of the other group at different postoperative time points (P〈0.05). The uncorrected visual acuity of the observation group was significantly higher than that of the control group at different postoperative time points(P 〈0.01). The incidence of complications in the observation group was 12.70%, which was significantly lower than 32.79% of the control group(P〈0.01). Conclusion The implementation of modified small incision non- phacoemulsification cataract surgery can effectively avoid postoperative surgical astigmatism, reduce perioperative complications, and it is worth popularizing.
作者 许俊艳
出处 《实用防盲技术》 2017年第2期69-71,共3页 Journal of Practical Preventing Blind
关键词 小切口 白内障手术 非超声乳化 散光 Small incision cataract surgery Non-phacoemulsification Astigmatism
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