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小切口非乳化折叠式人工晶状体植入术的观察 被引量:7

Clinical observation on small incision nonphacoemulsification and foldable IOL implantation.
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摘要 目的 评价小切口非超声乳化折叠式人工晶状体植入术的效果。方法 对 36例 40眼白内障 ,行 4 5mm巩膜隧道切口非超声乳化摘出 ,植入水凝胶折叠式人工晶状体。并与同期进行的超声乳化折叠式人工晶状体植入术 40例 44眼进行对比。结果 术后 1周、1月和 3月裸眼或矫正视力≥ 1 0者分别为 6 2 5 %、6 7 5 %、和 70 %。术后 1周平均散光为 ( 1 0 9±0 5 6 )D ,与术前比较增加 0 30D ;术后 1月和 3月分别为 ( 0 93± 0 5 8)D和 ( 0 81± 0 5 3)D ,与同期进行超声乳化折叠式人工晶状体植入术比较 ,差异均无显著性意义 (P >0 0 5 )。结论 此术式具有视力恢复快、角膜散光小和并发症少的优点 ,而且操作容易、费用较低 。 Objective To evalute the effect of small incision non-phacoemulsification with foldable IOL implantation.Methods The surgery was performed by using small tunnel incision (4.5 mm) at up-right quadrant and implanting foldable IOL on 40 eyes of 36 cases of complicated,senile and congenital cataract.The surgical results were compared with 42 cases (44 eyes) of cataracts which were operated and implanted foldable IOLs with phacoemulsification.Results One week,one month and three months after operating,uncorrected or corrected visual acuities≥1.0 was in proper order 62.5%,67.5%,and 70%.One week after operationg average astigmatism was (1.09±0.56) D which was 0.30 D more than that before operation.One month and three months after operating average astigmatism was (0.93±0.58) D and (0.81±0.53) D.All results were compared with the results of 42(44 eyes) which the foldable IOLs were implanted with phacoemulsification.There is no significant difference between two groups (P>0.05).Conclusion This surgical method has evident advantages of fast recovering visual acuity,less corneal astigmatism and less complications.
出处 《眼外伤职业眼病杂志》 北大核心 2002年第2期137-138,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 白内障 小切品 非超声乳化术 人工晶状体植入术 Cataract Small incision Non-phacoemulsification Foldable IOL
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