基层医院高龄白内障超声乳化吸除术体会和分析  

Hospital grass-roots citizens cataract phacoemulsification experienceand analysis

作　　者：刘志谦[1] 

机构地区：[1]武汉市黄陂区人民医院眼科,430300

出　　处：《实用防盲技术》2008年第4期17-18,共2页Journal of Practical Preventing Blind

摘　　要：目的探讨基层医院开展高龄老人白内障超声乳化吸除术应注意的问题,手术难点及处理对策,旨在减少手术并发症,提高成功率。方法对109只眼,75-84岁老人白内障超声乳化吸除术作回顾性总结和分析。结果术后一周视力0.5以上68只眼,占63%。视力0.1-0.3者14只眼,占13%。0.3-0.5者23只眼,占21%。4只眼未脱盲,占3%术中并发症为后囊破裂,未发生核坠入玻璃体,无严重全是并发症发生,术后并发症主要是角膜水肿,未发生大泡性角膜炎。结论本组病例疗效满意。无严重并发症发生。手术成功的关键是要充分了解高龄白内障老人眼部及全身生理特点,对各种手术并发症的原因和表现有清醒的认识,具备扎实的手术操作技巧。Objective To explore the old grass-roots hospitals to carry out cataract phacoemulsification should pay attention to the problem, surgery and difficult to deal with measures aimed at reducing the complications of surgery, to improve the success rate. Methods 109 eyes ,75-84-year-old cataract phacoemulsification be reviewed and analyzed. Results visual acuity of 0.5 or more a week after 68 eyes, accounting for 63%. 0.1-0.3 vision eyes were 14, accounting for 13%. 0.3-0.5 23 eyes, accounting for 21%. 4 eyes are not literate, accounting for 3% of the complications of surgery for ruptured posterior capsule, not a nuclear into the vitreous, all without serious complications, post-operative complications is corneal edema, no bullous keratitis. Conclusion The efficacy of satisfaction with the case. No serious complications occurred Key to the success of the operation is to fully understand the elderly cataract eye for the elderly and general physical characteristics of the various causes and complications of surgery have a clear understanding of performance, with solid skills in operation.

关 键 词：高龄白内障 超声乳化手术 临床分析 治疗方法 

分 类 号：R779.66[医药卫生—眼科]