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目的观察小切口白内障摘除联合人工晶体植入术治疗白内障的临床疗效。方法对2007-01~2010-06间,在我院住院病例300例334眼行小切口白内障摘除联合人工晶体植入术,观察其术后视力及并发症。结果术后1 d、1周、3个月矫正视力(0.5者和≥0.5者分别为91眼(27.25%)、63眼(18.86%)、37眼(11.08%)和243眼(72.75%)、271眼(81.14%)、297眼(88.92%)。术中并发症后囊膜破裂14眼(占4.19%),有5眼经处理后囊袋内植入人工晶体,9眼植入睫状沟。术后并发症主要有角膜水肿、巩膜炎症反应、前房出血、瞳孔轻度变形、眼高压,术后1 d、1周、3个月发生率分别11.98%、3.89%、0.89%、0.29%、3.29%和0、0、0、0.29%、2.39%和0、0、0、0.29%、0.89%。结论小切口白内障摘除联合人工晶体植入术,手术切口小、损伤小、术后散光少、手术操作较简单,疗效可靠,可在基层医院广泛开展。
Objective To observe the clinical effect of small incision cataract extraction combined with intraocular lens implantation in the treatment of cataract. Methods Between 2007-01 and 2010-06, 300 patients (334 eyes) in our hospital were treated with small incision cataract extraction combined with intraocular lens implantation to observe their postoperative visual acuity and complications. Results The corrected visual acuity (91 eyes (27.25%), 63 eyes (18.86%), 37 eyes (11.08%) and 243 eyes (72.75%) at 1 d, , 271 eyes (81.14%) and 297 eyes (88.92%). There were 14 eyes (4.19%) with intracapsular rupture and 5 eyes were treated with intraocular lens implantation The incidence of postoperative complications were mainly corneal edema, scleral inflammatory reaction, anterior chamber hemorrhage, mild pupil deformity, ocular hypertension, postoperative 1 d, 1 week, 3 months incidence rates were 11.98%, 3.89%, 0.89% , 0.29%, 3.29% and 0,0,0,0.29%, 2.39% and 0,0,0,0.29%, 0.89% respectively.Conclusion Small incision cataract extraction combined with intraocular lens implantation has the advantages of small incision, less injury, Postoperative astigmatism less surgery is simpler, reliable, and can be widely carried out in primary hospitals.