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目的 探讨高龄老年心血管病患者白内障手术方法和效果。方法 对 89例 ( 95眼 )高龄老年心血管病患者行白内障囊外摘除人工晶体植入术。加强手术前后对心血管病的妥善处理 ,避免手术风险。结果 全部患者安全施行了手术 ,术后视力 0 .2～ 0 .5者 5 7眼 ( 60 % ) ,>0 .5者 2 9眼 ( 3 0 % ) ,无严重全身和局部并发症 ,达到预期效果。结论 高龄老年心血管病患者行白内障囊外摘除人工晶体植入术 ,术中禁用肾上腺素 ,小心压迫眼球及牵拉眼肌 ,术后全身禁用激素。可避免手术风险 ,提高疗效。
Objective To investigate the methods and effects of cataract surgery in elderly patients with cardiovascular disease. Methods 89 cases (95 eyes) of elderly patients with cardiovascular disease underwent extracapsular cataract extraction with intraocular lens implantation. To strengthen the proper management of cardiovascular disease before and after surgery to avoid surgical risks. Results All the patients underwent surgery safely. Postoperative visual acuity was 0.5-2.5% in 57 eyes (60%) and> 0.5 in 29 eyes (30%) without serious systemic and local complications expected result. Conclusions Elderly patients with cardiovascular disease underwent extracapsular cataract extraction with intraocular lens implantation. In the operation, epinephrine was banned, the eyeballs were carefully compressed and the eye muscles were pulled, and the hormone was banned after the operation. To avoid the risk of surgery to improve efficacy.