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目的 探讨角膜隧道切口超声乳化白内障吸除及折叠式人工晶状体植入手术的方法和疗效。方法 对136例(162只眼)老年性白内障,采用角膜隧道切口长3.2mm,隧道长1.75mm切口的方法,行超声乳化注入器法白内障吸除术,同时植入硅胶类三片式折叠式人工晶状体。结果 术後1天、1周,1个月和3个月裸眼视力≥0.5者分别为126(77.8％)、131(80.9％)、135(83.3％)、143(88.3％),并对115只眼手术前与手术後1个月、3个月散光情况进行t检验,结果无显著性差异(P>0.05)。结论 角膜隧道切口超声乳化白内障吸除折叠式人工晶状体植入术,手术操作简单,损伤小,术後反应轻,裸眼视力恢复快,屈光状态稳定,疗效满意。
Objective To investigate the method and efficacy of corneal tunnel incision phacoemulsification and foldable intraocular lens implantation. Methods Thirty-six eyes (162 eyes) of senile cataract were treated with phacoemulsification and cataract extraction with a length of 3.2 mm and a length of 1.75 mm. Intraocular lens. Results The visual acuity ≥ 0.5 at 1 day, 1 week, 1 month and 3 months after operation were 126 (77.8%), 131 (80.9%), 135 (83.3%) and 143 (88.3% There was no significant difference (P> 0.05) between the preoperative and postoperative 1 month and 3 months astigmatism t test. Conclusions Corneal tunnel incision phacoemulsification and foldable intraocular lens implantation has the advantages of simple operation, less injury, less postoperative reaction, faster visual acuity recovery and stable refractive status, and satisfactory curative effect.