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目的观察老年性白内障超声乳化吸除后囊环形撕开联合人工晶状体植入术的临床疗效。方法选取2010年1月至2010年4月在我院门诊和病房行老年性白内障超声乳化手术的患者30例(60只眼),均为双眼白内障患者,除外高血压、糖尿病、高度近视、晶状体脱位以及半脱位,青光眼以及囊膜剥脱的患者。年龄在52～90岁,男32例,女28例。患者一眼行后囊撕开、另一眼行不撕开手术,植入同种人工晶状体。手术后随访1年。结果术后矫正视力0.1～0.3者10只眼,0.3～0.6者36只眼,0.6以上者14只眼,无视网膜脱离发生,黄斑囊样水肿患者为3.3%。两组无明显差异。所有术眼无人工晶状体脱位,轻度偏位的发生率为6%。结论老年性白内障超声乳化手术后囊环形撕开联合人工晶状体植入,是一种安全有效的手术技术,可以有效防止后囊浑浊,远期手术并发症少,黄斑囊样水肿和视网膜脱离的发病率与常规白内障超声乳化手术无统计学差异。
Objective To observe the clinical effect of phacoemulsification and posterior capsular ring rip incision combined with intraocular lens implantation in senile cataract. Methods Thirty patients (60 eyes) with phacoemulsification in our clinic and ward from January 2010 to April 2010 were cataract patients except hypertension, diabetes mellitus, high myopia, Dislocation and subluxation, glaucoma and capsular exfoliation of patients. Aged 52 to 90 years old, 32 males and 28 females. The patient was torn open posterior capsule, the other line is not ripped open operation, implantation of the same type of intraocular lens. Follow-up 1 year after surgery. Results Postoperative corrected visual acuity was 0.1-0.3 in 10 eyes, 0.3-0.6 in 36 eyes and 0.6 in more than 14 eyes. There was no retinal detachment and macular cystoid edema was 3.3%. No significant difference between the two groups. All eyes without intraocular lens dislocation, the incidence of mild deviation of 6%. Conclusions Posterior capsular ring-opening combined with intraocular lens implantation after senile cataract phacoemulsification is a safe and effective surgical technique, which can effectively prevent posterior capsular opacification, fewer complications of long-term surgery, cystoid macular edema and retinal detachment Rate and conventional phacoemulsification surgery no significant difference.