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目的探讨在基层医院集中开展大批量白内障手术的围术期管理及最佳手术方式选择。方法回顾性分析553例白内障手术患者的相关临床资料,术前综合因素评估,严格掌握适应证,手术方式采用深隧道切口白内障摘除人工晶状体植入,术后随访1～3个月。结果 553例(553眼)术后第3天出院时视力<0.05者42例(42眼),0.05～0.25者169例(169眼),≥0.30者342例(342眼),脱盲率92.41%,脱残率61.84%。术后1个月按时复诊305例,视力<0.05者16例(16眼),0.05～0.25者85例(85眼),≥0.3者204例(204眼),脱盲率94.78%,脱残率66.89%,人工晶状体植入530例(530眼),植入率95.84%。结论只要加强围术期管理,深隧道切口白内障复明手术,切口自闭性好,无需缝合,娩核顺利,眼内操作单一,术后并发症少,视力恢复快,特别适合农村大量待手术者。
Objective To discuss the perioperative management of the high-volume cataract surgery in primary hospitals and the selection of the best surgical method. Methods A retrospective analysis of 553 cases of cataract surgery patients with clinical data, comprehensive evaluation of preoperative factors, strict indications, surgical approach using deep tunnel incision cataract extraction and intraocular lens implantation, followed up for 1 to 3 months. Results In the 553 eyes (553 eyes), 42 cases (42 eyes) had visual acuity of less than 0.05 on the 3rd day after operation, 169 cases (169 eyes) were 0.05 to 0.25, 342 cases (342 eyes) were ≥0.30, the blindness rate was 92.41% , The disability rate was 61.84%. One month after operation, 305 cases were referred on time, 16 eyes (16 eyes) with visual acuity <0.05, 85 eyes (85 eyes) with 0.05 ~ 0.25 eyes, 204 eyes (204 eyes ≥0.3), the blindness rate was 94.78% 66.89%, intraocular lens implantation 530 cases (530 eyes), the implantation rate was 95.84%. Conclusion As long as the perioperative management is strengthened, deep tunnel incision cataract surgery, incision autistic, without suture, nuclear delivery smooth, single intraocular operation, less postoperative complications, rapid visual acuity recovery, especially for a large number of rural patients to be surgery .