小切口白内障手术后低视力的分析  

ANALYSIS ON THE LOW VISUAL ACUITY AFTER SMALL INCISION CATARACT SURGERY

作　　者：王玲[1] 陈惠[1] 邓洪[1] 谢青[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院,海口570208

出　　处：《现代预防医学》2009年第9期1765-1766,1769,共3页Modern Preventive Medicine

摘　　要：[目的]分析小切口白内障摘除人工晶状体植入术后低视力的原因。[方法]根据中国低视力诊断标准,对393例(420眼)白内障患者,于术后3个月检查最佳矫正视力仍不足0.3的40例(45眼)进行低视力原因分析。[结果]术后低视力的主要原因为术前已存在的眼底病及全身病(34眼),另外,由手术并发症引起的11眼,其中,角膜水肿及角膜失代偿5眼,葡萄膜炎4眼,后发性白内障2眼。[结论]术前的认真检查,术中的细心操作,对低视力高危患者的术前详细谈话,可减少或避免医疗纠纷。[Objective] To analyze the reason of low visual acuity after cataract extraction with intraocular lens implantation through small incision. [Methods] According to the national diagnostic standard of low visual acuity, 40 cases （45 eyes） with the best corrected visual acuities lower than 0.3 three months after operation were selected from 393 cases （420 eyes） of the small incision cataract surgery, so that to analyze the reason of low visual acuity. [Results] The main causes of low visual acuity included ocular fundus diseases and other system diseases before operation （34 eyes） and postoperative complications （11 eyes） which included corneal edema and decompensation （5 eyes）, uveitis （4 eyes） and after-cataract （2 eyes）. [Conclusion] It is necessary to pay close attention to low visual acuity, careful operation, detailed conversation with the low visual acuity before operation, so as to reduce and prevent medical tangle.

关 键 词：白内障 小切口白内障手术 人工晶状体 低视力 

分 类 号：R766.1[医药卫生—耳鼻咽喉科]