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目的探讨小切口无缝线白内障摘除及人工晶体植入术的机理、方法及效果。方法回顾性分析350例(388眼)老年性白内障行小切口无缝线白内障摘除及人工晶体植入术的视力、角膜反应及术中并发症等。结果术后3天及1月裸眼视力或矫正视力≥0.5者在小切口无缝线手术中为90.86%,与对照组相比差异无显著性(P>0.05)。结论小切口无缝线白内障摘除及人工晶体植入术效果好,且对Ⅳ和Ⅴ级硬核白内障较安全,较适合基层医院。
Objective To investigate the mechanism, method and effect of small incision cataract extraction and intraocular lens implantation. Methods The visual acuity, corneal response and intraoperative complications were retrospectively analyzed in 350 cases (388 eyes) of senile cataract with small incision sutureless cataract extraction and intraocular lens implantation. Results The naked eye visual acuity or corrected visual acuity ≥ 0.5 at 3 days and 1 month after operation was 90.86% in the small incision suture operation, which was not significantly different from the control group (P> 0.05). Conclusion Small incision sutureless cataract extraction and intraocular lens implantation is effective, and for grade â ... ¢ and â ... ¢ hard nuclear cataract more secure, more suitable for primary hospital.