白内障复明手术500例术后早期观察与启示  

Early observation and revelation after 500 cases of cataract surgeries

作　　者：温跃春[1] 吴章友[1] 张士倩[1] 王林[1] 孙冰[1] 万川[1] 武立云[1] 

机构地区：[1]合肥安徽省立医院眼科,230001

出　　处：《实用防盲技术》2007年第4期1-3,共3页Journal of Practical Preventing Blind

摘　　要：目的通过对白内障复明手术500例术后的早期观察,分析大规模短时间集中开展白内障手术的方法。方法经过病人的组织筛选、手术对象的确定、严格的术前检查,确定500例适合手术的白内障病人,视力在0.1以下,无全身及眼部手术禁忌症,采取小切口白内障手术方式。结果术后第一天裸眼视力≥0.3的245例,<0.3而≥0.05的210例,<0.05的45例。术中术后主要并发症有角膜水肿、玻璃体脱出、虹膜损伤和前房出血等,无其他严重并发症。结论大规模短时间集中开展白内障手术,要有政府重视、严格的术前检查、先进的手术方式、严格的术后观察和相应的术后处理,重视每个环节,才能确保手术的成功。并应注重远期随访。Objective To analyze how to organize large numbers of cataract surgeries in a short time through early observation after 500 cases of cataract operation. Methods Patients were carefully checked and filtered before the operation. 500 cataract cases were confirmed suitable for the surgery who had vision acuities less than 0.1 and no surgical contraindications. Small-incision cataract surgeries were used in the operation. Results First day after the surgery, 245 cases had naked vision acuity better than 0.3, 210 cases between 0.3 and 0.05, 45 cases less than 0.05. Main complications included corneal edema, prolapse of vitreous, injuries of iris and hyphema, and no other serious complications occurred. Conclusions Emphasis of government, careful preoperative examination, advanced operational models, strict follow-up and treatment were main factors to successfully organize mass of cataract surgeries in a short time.

关 键 词：白内障摘除术 小切口 

分 类 号：R779.66[医药卫生—眼科]