经角膜切口行白内障摘除和人工晶体植入术  

Cataract extraction combined intraocular lens implantation through corneal incision

作　　者：谢立信[1] 董晓光[1] 曹景[1] 姚瞻[1] 王瑶[1] 

机构地区：[1]山东省医学科学院眼科研究所

出　　处：《中华眼科杂志》1997年第3期192-194,共3页Chinese Journal of Ophthalmology

摘　　要：目的介绍经角膜切口行白内障囊外摘除和人工晶体植入的方法及疗效观察。方法用可调钻石刀在上方角膜缘内１．０～１．５ｍｍ处做梯形切口，行白内障囊外摘除和人工晶体植入手术，观察术后眼压、角膜内皮细胞及角膜性散光变化。结果４５只眼的眼压术前及术后对比，无统计学差异（Ｐ＞０．０５），角膜内皮细胞损失率为１２．５５％，术后平均循规性角膜散光０．９６ＤＣ。结论经角膜切口治疗青光眼小梁切除术后并发白内障、陈旧性葡萄膜炎瞳孔闭锁并发白内障及严重的糖尿病性白内障等，其疗效安全、可靠。Objictive We reported the clinical results of the extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation through a corneal incision.Methods The ECCE with IOL implantation was performed through a stepped corneal incision within limbus 1.0～1.5mm.The changes of intraocular pressure (IOP),endothelia and astigmatism were observed.Results The IOP has no significant changes,and the rate of end othelial cells loss (12.55%) also has no significant differences compared with routine cataract extraction.The corneal astigmatism became 0.96 DC with the rule after operation.Conclusion For complicated cataract after trabeculectomy,uveitis with pupillary block,and serious diabetic cataract,the intraocular surgery through a corneal incision is effective and safe.

关 键 词：白内障摘除术 人工晶体植入术 

分 类 号：R779.66[医药卫生—眼科]