摘要
目的探讨小切口手法碎核白内障囊外摘除联合人工晶状体植入术的临床疗效,手术技巧及并发症。方法表面麻醉或加球筋膜下麻醉,对163例(184眼)白内障采用反眉形巩膜隧道切口,连续环形撕囊或开罐式截囊,充分水分离,单手或双手法旋核,手法碎核,分二块取出晶状体核,植入后房型人工晶状体。结果术中后囊破裂6眼(3.26%),晶体悬韧带断裂2眼(1.09%),虹膜根部断离1眼(0.54%),角膜内皮轻度水肿18眼(9.78%)。术后第1天矫正视力0.5以上者140眼(76.09%),术后1周矫正视力0.5以上者159眼(86.41%),术后1月矫正视力0.5以上者165眼(89.67%)。178眼(96.74%)。无严重的术中及术后并发症。结论手法碎核白内障摘除术具有切口小,愈合快,并发症少,设备简单,临床效果满意,值得推广和应用。
Objetive To investigate the clinical effects, surgical techniques and complications of manual nucleofragmentation extracapsular cataract extraction and intraocular lens implantation. Methods After topical or/and sub Tenon＇s anaesthesia, 163 cases （184 eyes） received anti-eyebrow-shaped scleral tunnel incision, continuous curvilinear capsulorhexis or can opener capsulectomy, hydrodissection, single or dual manualnuclear rotation, manual nucleofragmentation, removing two blocks of lens nucleus, and posterior Chamber intraoeular lens implantation. Results 6 eyes（3.26%） suffered from posterior capsular rupture during operation, 2 eyes （1.09%） suffered from zonular dialysis, 1 eye （0.54%） suffered from iris root breaking away, 18（9.78%） eyes suffered from mild corneal endothelial edema. The number of eyes whose best corrected VA on postoperative 1 day 0.5 or better was 140 （76.09%）. After 1 week, the number achieved 159 （86.41%）, and after 1 month, the number was 165 （89.67%）. There were no serious complications in all cases. Conclusions The manual nueleofragmentation extracapsular cataract extraction with small incision, faster healing, fewer complications, simple equipment, satisfactory clinical effect, is worthy of promotion and application.
出处
《实用防盲技术》
2013年第2期69-71,共3页
Journal of Practical Preventing Blind
关键词
白内障手术
手法碎核
小切口
疗效
Cataract surgery
Manual nucleofragmentation
Small incision
Therapeutic effect
