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目的了解老年及其他类型白内障患者的临床特点及复明质量。方法统计和分析602例(666眼)白内障手术患者的情况,指标包括白内障患者的年龄、性别构成比、成因构成比、超声乳化术患者年龄与白内障晶体核硬度的关系、超声乳化手术患者核硬度与手术时间的关系、白内障超声乳化手术患眼术后视力情况、3组手术(一片式、折叠式、注入式)手术前后平均视力比较、超高度近视眼的白内障及高龄白内障患者的潜视力预测和实际视力符合率等。结果接受白内障手术的患者以60～80岁居多,占61.9%;类型以老年性白内障为主,占65%;Ⅳ级核白内障患者以70岁以上组居多分别为46.6%(60～70岁)和49.6%(70～80岁)。手术脱盲率达到100%,脱残率达到92.8%。结论本文统计的白内障患者的特点及发病规律与我国相关文献报道基本相同,高龄组白内障手术效果并不因其年龄大而受影响,其复明质量与一般白内障患者相似,视觉复明质量的高低与手术者的操作技巧及并发症的发生有密切关系。
Objective To understand the clinical features and the quality of fuming in elderly and other types of cataract patients. Methods The data of 602 patients (666 eyes) with cataract surgery were statistically analyzed and analyzed. The indexes included the age and sex ratio of cataract patients, the cause ratio, the relationship between the age of phacoemulsification and the nuclear hardness of cataract, the nuclear hardness of phacoemulsification patients And surgery time, visual acuity after cataract phacoemulsification, average visual acuity before and after surgery in three groups of surgery (one-piece, foldable, infused) comparison, cataract in super-high myopia and cataract in presbyopia And the actual visual acuity coincidence rate and so on. Results The majority of patients undergoing cataract surgery were 60 to 80 years old, accounting for 61.9%. The majority of them were senile cataract, accounting for 65% of the total. Patients with grade IV nuclear cataracts were 46.6% (60-70 years) And 49.6% (70 ~ 80 years old). The rate of surgical blindness reached 100% and the disability rate reached 92.8%. Conclusions The characteristics and incidence of cataract patients in this paper are basically the same as those reported in our country. The effect of cataract surgery in elderly group is not affected by their age. The quality of Fuming is similar to that of cataract patients. The quality of visual complexion and operation The operating skills and complications are closely related.