摘要
目的 :评价非超声乳化小切口白内障手术作为超声乳化 (Phaco)术中补救手段的临床应用效果。方法 :追踪观察Phaco术中转换为非超声乳化小切口白内障手术的 2 3眼的术后视力、散光变化、并发症情况 ,并与同期随机选取的完成Phaco的 2 3眼加以比较。结果 :随访 3个月 ,两组术后视力、散光恢复 ,经t 检验无显著差异 (P >0 0 5 ) ;并发症方面 ,前者有 2例前房积血发生 ,前囊膜撕裂 6例 ,无严重并发症发生。结论 :作为Phaco术中的补救手段 ,Phaco术中转换为非超声乳化小切口白内障手术是切实可行的 。
To evaluate the effects of non phaco extracti on with small incision as an intraoperative conversion way,if phacoemulsification (phaco) were unsuccessful. Methods:Group I:Consecutive 23 cases (23 eyes) who had bee n undergoing phacoemulsification with small incision were turn to undergoing non phaco extraction in process of phaco.Group II:A matched group of 23 cases (23 eyes) having undergone phacoemulsification.Postoperative vision,postoperative astigmatism and complications were compared between two groups with 3 months follow up. Results:There were no statistically significant difference s in postoperative vision and postoperative astigmatism between the two groups (P>0.05).Complications in group I included hyphema (2 eyes,8.7%) and anterior capsular avulsion (6 eyes,26.1%),the other complications were as the same as group II.No severe complication was found. Conclusions:As an intraoperative conversion operation,non phaco extraction with small incision can effectively replace phaco,and postope rative outcomes seems equivalent to phaco.
出处
《中国实用眼科杂志》
CSCD
北大核心
2002年第8期616-617,共2页
Chinese Journal of Practical Ophthalmology
