摘要
目的 :通过分析囊外或超声乳化治疗硅油填充眼并发性白内障的临床资料 ,探讨两种手术效果 ,评价其安全性。方法 :回顾性分析分别行囊外摘除及超声乳化术的硅油填充眼并发性白内障病例 2 1眼和 13眼 ,比较两组在提高术后视力、减少手术并发症的效果。结果 :囊外摘除及超声乳化术在提高患者视力程度上无显著差异 (P =0 40 3 ) ,均能使患者视力提高到接近硅油填充术后视力水平 (分别P =0 165、P =0 0 67)。囊外摘除术前房硅油发生率 3 9 48% ,超声乳化术发生率 15 3 7%。结论 :两种手术方式均能使患者达到或接近硅油填充术后的最佳视力 ,但超声乳化术更安全。囊外摘除术中改截囊为环行撕囊可提高手术安全性。
Objective:To compare the effects of extracapsular cataract extraction (ECCE) and phacoemulsification (PHACO) in the eyes with silicone oil (SO) tamponade. Methods:The visual acuities and complications after ECCE in 21 eyes and PHACO in 13 eyes were retrospectively compared. Results:The two methods had no difference in improving postoperative visual acuity (P=0.40).Both ECCE and PHACO could repair the visual acuity to the best status as that right after the eyes filled with SO.The incidence of SO into anterior chamber was 39.48% in ECCE and 15.37% in PHACO. Conclusions:Both ECCE and PHACO could reach good visual acuity,but PHACO was safer.CCC procedure can increase the safety of ECCE.
出处
《中国实用眼科杂志》
CSCD
北大核心
2003年第11期842-844,共3页
Chinese Journal of Practical Ophthalmology
