摘要
目的探讨两种不同切口对短眼轴眼白内障行超声乳化术效果的影响。方法回顾性分析。眼轴长度在20．10～22．12mm的短眼轴眼晶状体超声乳化术54例（68眼），随机分成A组（透明角膜切口）26例（34眼），B组（巩膜隧道切口）28例（34眼），比较两种不同切口对术后视力及并发症的影响。结果术后1个月，A组矫正视力≥0．5者26眼，占76．47％；B组矫正视力≥0．5者27眼，占79．41％，两组差异无统计学意义。术后并发症有角膜水肿、后囊破裂、一过性眼压升高及反应性虹膜睫状体炎等，两组差异无统计学意义。结论短眼轴眼白内障两种不同切口超声乳化术，术后视力及并发症并无显著差异。根据不同患者采取不同的手术方式，均可获得良好的复明效果。
Objective To study the influence of different surgical incision in phacoemulsification cataract surgery for eyes with short axis. Methods The medical records of 68 eyes of 54 cataract cases with short axial length ranging from 20.10 mm to 22.12 mm who underwent phacoemulsification cataract surgery were retrospectively analyzed. The cases were randomly divided into two groups, group A and group B. Group A （ 34 eyes of 26 cases） accepted corneal incision and group B （ 34 eyes of 28 cases） underwent scleral tunnel incision. The visual acuity and complications were compared between two groups. Results The corrected visual acuity was≥0.5 in 26 eyes （76.47%） in group A and in 27 eyes （79.41%） in group B at 1 month after surgery. There were no significant difference between two groups. The incidence of corne- al edema, posterior capsule rupture, transient elevated intraocular pressure and reactive iridocyclitis had no significant difference between two groups. Conclusion Different surgical incision in short axial cataract phacoemulsification has no difference in postoperative visual acuity and surgical complications. Both two in- cisions can have good vision after surgery.
出处
《中华眼外伤职业眼病杂志》
2014年第4期275-277,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
短眼轴
白内障
超声乳化术
Length, axial, short
Cataract
Phacoemulsification
