论文部分内容阅读
本文报导了165例200眼白内障超声乳化及人工晶体植入术,其中先天性白内障5眼,老年性白内障166眼,并发性白内障29眼。结果表明,该术具有切口小、安全、术后视力恢复较快、手术致角膜散光少及屈光状态稳定等优点。为了体现上述优点,减少并发症,作者认为:①在各种手术切口中以巩膜隧道切口为佳,②连续弧线形撕囊术可防止术中囊膜撕裂和保证在囊袋内施行超声乳化术,③联合应用超声乳化的各种手法和技术,可缩短超声乳化时间,降低其能量,减少角膜内皮损伤,④严格掌握适应症是手术成功的关键。V级核目前不是适应症。本组的主要并发症为后囊膜破裂及角膜内皮水肿混浊。
This article reports 165 cases of 200 cataract phacoemulsification and intraocular lens implantation, including 5 cases of congenital cataracts, 166 cases of senile cataract and 29 cases of complicated cataract. The results showed that this technique has the advantages of small incision, safety, quick recovery of postoperative visual acuity, less corneal astigmatism caused by surgery and stable refractive status. In order to reflect the above advantages and reduce complications, the authors believe that: ① scleral tunnel incision in a variety of surgical incision is better, ② continuous arc-shaped capsulorhexis surgery to prevent intraoperative capsular tear and pouch to ensure ultrasound Emulsification, combined with various methods and techniques of phacoemulsification can shorten the time of phacoemulsification, reduce its energy and reduce corneal endothelial damage. It is the key to the successful operation that strict indications are taken. V grade nuclear is not currently indications. The main complication of this group is posterior capsular rupture and corneal endothelial edema and opacity.