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目的 :评价颞侧巩膜小切口非超声乳化白内障手术的手术效果。方法 :行颞侧巩膜小切口非超声乳化白内障手术患者 3 0例 ,并与 3 3例相同术式的上方切口患者相对照 ,比较其术后 1天、1周、1、3个月的手术源性散光 (surgeryinducedastigmatism ,SIA)、视力和并发症 ,从而评价颞侧切口的手术效果。结果 :两种切口产生相似量的逆切口散光 (P >0 0 5) ;术后各个时间比较 ,两种切口视力无明显的差异 (P >0 0 5) ;术后除上方切口组有两例虹膜脱出者外 ,两组均没有明显的并发症。结论 :颞侧切口可以产生与上方切口同样的手术效果 ,并且具有方便手术操作 ,保留上方结膜完整的优势
Objective: To evaluate the operative effect of temporal scleral incision non-phacoemulsification cataract surgery. METHODS: Thirty patients with temporal scleral incision non-phacoemulsification cataract surgery were compared with those of the same incision with the same surgical procedure. One day, one week, one and three months after operation Source of astigmatism (SIA), visual acuity and complications, to evaluate the surgical effect of temporal incision. Results: The two incisions produced a similar amount of reverse incision astigmatism (P> 0.05). There was no significant difference in visual acuity between the two incisions at any time after surgery (P> 0.05) Cases of iris prolapse outside the two groups were no obvious complications. Conclusion: The temporal incision can produce the same surgical effect as the incision above, and has the advantages of convenient surgical operation and preserving the integrity of the upper conjunctiva