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探讨防止超声乳化白内障摘除术后浅前房所引起的眼部损害的方法。方法 :对 18例超声乳化白内障摘除术后浅前房的病例进行观察 ,分析其原因及处理方法。其中 17例为老年性白内障 ,1例为先天性白内障 ,术中通过颞侧透明角膜隧道切口行超声乳化白内障摘除及折叠式人工晶体植入术 ,观察术后前房的深浅、视力及眼压变化。结果 :18例浅前房中 ,9例为切口漏水 ,8例为瞳孔阻滞 ,1例为迟发性脉络膜上腔出血。切口漏水组须再次手术缝合切口 ;瞳孔阻滞组用药物散瞳及抗炎治疗 ,仅 1例需手术治疗 ;迟发性脉络膜上腔出血者则对症处理。 15例 (83.3% )病人术后 2周视力均恢复至 0 .5以上。结论 :及时的对症处理 ,可以防止超声乳化白内障摘除术后浅前房对眼部的损害 ,使病人得到较好的视力恢复。
To explore ways to prevent ocular damage caused by shallow anterior chamber after phacoemulsification cataract extraction. Methods: 18 cases of shallow anterior chamber after phacoemulsification cataract extraction were observed, the reason and treatment were analyzed. Among them, 17 cases were senile cataract and 1 case was congenital cataract. Phacoemulsification and foldable intraocular lens implantation were performed through temporal clear corneal tunnel incision. The depth, visual acuity and intraocular pressure Variety. Results: In 18 cases of shallow anterior chamber, 9 cases were incisional leakage, 8 cases were pupillary block and 1 case was delayed choroidal hemorrhage. Incision leakage group must be re-surgical suture incision; pupil block group with drug mydriasis and anti-inflammatory treatment, only 1 case required surgical treatment; delayed choroidal hemorrhage were symptomatic treatment. Visual acuity recovered to more than 0.5 in 15 (83.3%) patients 2 weeks after surgery. Conclusion: Timely symptomatic treatment can prevent the shallow anterior chamber after phacoemulsification cataract extraction of eye damage, so that patients get better vision recovery.