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目的 :观察并分析高原地区白内障超声乳化术疗效及并发症 ;方法 :36 0例 (42 0只眼 )各类白内障采用原位超声乳化吸除法或砍劈乳化吸除法 ;结果 :术后裸眼视力第 1天、第 1周和 3个月≥ 0 .5的眼数分别为 352 (83.81 % )、36 4(86 .6 7% )、334(79.52 % )。手术并发症主要为角膜水肿和后囊破裂。 3个月后随访时后囊膜混浊、囊袋收缩综合征分别占 1 6 .1 5%、1 3.85% ;结论 :高原地区开展白内障超声乳化术因其白内障特点以Ⅲ级以上核多见。术前检查玻璃体混浊、眼底病变者居多。伴有全身性疾病者较多。手术并发症依白内障种类不同则有不同的改变
Objective: To observe and analyze the efficacy and complications of cataract phacoemulsification in high altitude area.Methods: 360 cases (42 eyes) of all kinds of cataract were treated by in situ phacoemulsification and chopped - There were 352 (83.81%), 36 4 (86.76%) and 334 (79.52%) eyes with ≥ 0.5 on day 1, week 1 and 3 respectively. Complications of surgery mainly corneal edema and posterior capsule rupture. At 3 months after follow-up, posterior capsular opacities and capsular bag syndrome accounted for 16.51% and 13.85% respectively. Conclusion: Cataract phacoemulsification is more common in grade Ⅲ or higher cataract due to its cataract characteristics. Preoperative vitreous opacity, mostly retinal lesions. Patients with systemic diseases are more. Surgical complications vary depending on the type of cataract