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目的 探讨贫困地区白内障手术中预防严重手术并发症的方法。方法 将141例(163眼)病人随即分为三组,A组采用弧形截囊,B组开罐式截囊;C组弧形截囊,前房灌注液中加入微量妥布霉素;比较三组的术后效果。结果 A组术后一周视力及人工晶状体植入率高于B组,术后一周角膜水肿率低于B组,差异均有显著性(P<0.05);A、C两组比较差异无显著性(P>0.05)。结论 贫困地区白内障手术有其特点,弧形截囊能减少手术并发症的发生,灌注液中加入妥布霉素是有效和可行的。
Objective To explore the methods of preventing serious complications in cataract surgery in poor areas. Methods A total of 141 patients (163 eyes) were randomly divided into three groups. Group A received arc-shaped capsulotomy and group B opened-can-cut capsulotomy. In group C, curved capsulotomy and microinjection of tobramycin into the anterior chamber perfusion fluid were performed. The postoperative effects of the three groups were compared. Results The visual acuity and intraocular lens implantation rate in group A was higher than that in group B at one week after surgery. The corneal edema rate in one week after operation was lower than that in group B (P <0.05). There was no significant difference between groups A and C (P> 0.05). Conclusions Cataract surgery in poor areas has its own characteristics. Arc-shaped capsulotomy can reduce the incidence of surgical complications. Adding tobramycin into the perfusion fluid is effective and feasible.