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目的 在超声乳化白内障摘除术早期使用单手法的效果和可行性。方法 对使用单手法超声乳化组38 眼、囊外组43 眼,于术后一周及三个月两个不同时期进行视力和散光测定,并进行术中及术后并发症的比较。结果 乳化组裸眼视力于一周、三月时明显优于囊外组( P < 0.01),散光亦低于囊外组( P < 0.05)。而乳化组的术中晶体后囊破裂及术后角膜内皮混浊的比例稍高。结论 使用单手法在超声乳化早期取得了较好的疗效,为从白内障囊外摘除向较复杂的超声乳化技术转化作了很好的过渡
Objective To evaluate the feasibility and feasibility of using single-handed method in the early phacoemulsification cataract extraction. Methods Thirty-eight eyes (38 eyes) and 43 eyes (48 eyes) underwent single-phacoemulsification and visual acuity and astigmatism at one week and three months after operation. Comparisons were performed between the two groups. Results The uncorrected visual acuity of the emulsified group was significantly better than that of the extracapsular group (P <0.01) and astigmatism was lower than that of the extracapsular group (P <0.05). In the emulsified group, intraocular lens posterior capsule rupture and corneal endothelial turbidity were slightly higher. Conclusions The one-shot method achieved good results in the early stage of phacoemulsification and made a good transition from extracapsular cataract extraction to more complicated phacoemulsification