隧道巩膜切口与透明角膜切口超声乳化白内障手术的临床效果分析  

Clinical analysis of scleral tunnel incision phacoemulsification and clear corneal incision phacoemulsification

作　　者：陈光约[1] 林淑玲[1] 张采华[1] 梅军[1] 陈映梅[1] 

机构地区：[1]福建省三明市第二医院眼科,366000

出　　处：《临床眼科杂志》2006年第3期219-221,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨老年性白内障摘除人工晶状体植入术两种不同术式的临床疗效；评价隧道巩膜切口与透明角膜切口的疗效差异。方法对年龄60～80岁,平均(68.4±9.1)岁的老年性白内障患者按前后阶段分成两组,A组98例(109只眼),行隧道巩膜切口白内障超声乳化摘除联合人工晶状体植入术；B组216例(258只眼)行透明角膜切口白内障超声乳化摘除联合折叠式人工晶状体植入术。分析两种不同切口及相应不同类型人工晶状体植入方式的优缺点。结果术后视力：两组术后1周、1个月、3个月的裸眼视力及最佳矫正视力存在显著性差异。术后并发症有轻度角膜内皮水肿、重度角膜内皮水肿、重度前段葡萄膜反应、人工晶状体夹持等。结论角膜透明切口白内障超声乳化摘除联合折叠式人工晶状体植入术术后散光小,并发症少,视力恢复好。Objective To investigate the clinical outcomes of two different surgical Methods of age-related cataract extraction and intraocular lens implantation. Evaluate the difference between scleral tunnel incision and clear corneal incision. Methods The investigation included 314 age-related cataract cases, 367 eyes, the ages ranged from 60 years old to 80 years old, averaged at （68.4 ±9.1 ） years old. The cases were orderly divided into seleral tunnel incision and intraocular lens implant group （A group, 98 cases, 109 eyes） and clear corneal incision and foldable IOL group （B group, 216 cases, 258 eyes）. The advantages and disadvantages of the two different incisions and IOLs were analysed. Results At 1 week, 1 month, and 3 months after the surgery, the differences of visual acuity and the best-corrected visual acuity between the two groups were statistically significant. Post-operative complications included mild corneal edema, severe corneal edema, severe uvea response of anterior segment of the eye, the intraocular lens capture, and so on. Conclusion Phaceemulsification with clear corneal incision and foldable IOL implantation can reduce the post-operative astigmatism and complications, which can improve the rehabilitation of visual acuity.

关 键 词：老年性白内障 隧道巩膜切口 透明角膜切口 人工晶状体植入 超声乳化术 

分 类 号：R779.66[医药卫生—眼科]