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目的回顾分析401眼高龄老年性白内障围手术期的临床治疗特点。方法对353例80岁以上老人行白内障囊外摘除术或联合人工晶体植入术314眼,及超声乳化联合人工晶体植入术87眼。伴有全身疾病的患者,术前、术后均持续内科治疗。术中给予必要的心电监护和吸氧。结果401眼的脱残率为73.22%,脱盲率为95.51%。严重葡萄膜炎14眼,前房出血8眼,角膜基质水肿23眼。无一例发生全身并发症。结论高龄老年性白内障的视力预后相对较差。伴有全身疾病的患者术前、术后均需内科控制,严格掌握适应证;术中操作轻巧,并予必要的监护措施,从而极大程度地提高手术的安全性.
Objective To retrospectively analyze the clinical features of perioperative period in 401 eyes with senile senile cataract. Methods Three hundred and seventy-three eyes of 353 patients aged 80 years and older underwent extracapsular cataract extraction combined with intraocular lens implantation and 87 eyes underwent phacoemulsification combined with intraocular lens implantation. Patients with systemic diseases, medical treatment continued before and after surgery. Surgery to give the necessary ECG and oxygen. Results The disability rate of 401 eyes was 73.22%, and the blindness rate was 95.51%. 14 cases of severe uveitis, 8 cases of anterior chamber hemorrhage, 23 corneal stromal edema. No case of systemic complications occurred. Conclusion The prognosis of senile cataract is relatively poor. Patients with systemic diseases require medical control before and after surgery, strictly control indications; intraoperative operation light, and necessary monitoring measures to greatly improve the safety of surgery.