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目的探讨各类白内障摘出人工晶状体植入术的效果。方法对10种不同类型白内障摘出人工晶状体植入术后的效果进行回顾性分析。结果术后矫正视力≥0.5者,老年性白内障组为89.6%,高度近视并发白内障组为62.2%,糖尿病合并白内障组为71.2%,青光眼并发白内障组为50.4%,长寿老人(>80a)白内障组为68.5%,外伤性白内障组为73.8%,先天性白内障组为56.5%,抗青光眼术后并发白内障组为46.2%,葡萄膜炎并发白内障组为61.7%,Fuch综合征并发白内障组为91.7%.除Fuch综合征并发白内障组外,老年性白内障组术后矫正视力≥0.5者所占的百分比与其它各组相比经统计学处理均有显著性差异(P<0.05)。结论白内障摘出合并人工晶状体植入术是治疗白内障的有效方法。伴有其它合并症的白内障患者虽然视力恢复不够满意,但多有改善,因此不应放弃手术机会。
Objective To investigate the effect of all kinds of cataract extraction and intraocular lens implantation. Methods The effects of 10 different types of cataract extraction with intraocular lens implantation were retrospectively analyzed. Results Postoperative corrected visual acuity ≥ 0.5, 89.6% of senile cataract patients, 62.2% of patients with high myopia and cataract, 71.2% of diabetic patients with cataract and 40.4% of patients with glaucoma complicated with cataract % In the cataract group, 68.5% in the longevity elderly (> 80a), 73.8% in the traumatic cataract group, 56.5% in the congenital cataract group, 46.2% in the cataract group and 46.2% in the glaucoma group The incidence of meningitis was 61.7% in the cataract group and 91.7% in the Fuch syndrome group. Except Fuch syndrome complicated with cataract group, the percentage of postoperative corrected visual acuity≥0.5 in senile cataract group was statistically significant compared with other groups (P <0.05). Conclusion Cataract extraction combined with intraocular lens implantation is an effective method for the treatment of cataract. Although cataract patients with other comorbidities are not satisfied enough with visual acuity recovery, they have many improvements and should not give up the chance of surgery.