特殊人群白内障超声乳化摘出及人工晶状体植入术安全性分析  

Analysis of security of phacoemulsification and intraocular lens implantation for cataract in special crowd

作　　者：唐于荣[1] 林媛[1] 孙艳梅[1] 张珍珍[1] 

机构地区：[1]徐州医学院第二附属医院眼科中心,中国江苏省徐州市221006

出　　处：《国际眼科杂志》2009年第8期1485-1486,共2页International Eye Science

摘　　要：目的:评价特殊人群在表面麻醉下白内障超声乳化摘出及人工晶状体植入术安全性及手术效果。方法:回顾性分析近4a我科对96例106眼特殊人群在表面麻醉下白内障超声乳化摘出及人工晶状体植入术的相关临床资料,观察其术后视力的恢复及并发症的情况。特殊人群指符合下列条件之一的患者:年龄≥80岁身体健康的高龄患者71例78眼;有心律失常(房颤、房早、室早)患者22例22眼。尿毒症患者3例6眼。结果:所有患者全部安全完成了手术,术后视力均较术前提高,其中术后1d裸眼视力≥0.3者66眼(62.3%),术后1wk视力≥0.3者85眼(80.2%),术后1mo视力≥0.3者96眼(90.6%),术中及术后各种并发症的发生率均很低。结论:在表面麻醉下对特殊人群行白内障超声乳化摘出及人工晶状体植入是一种安全的手术方法,提高手术技术是成功的关键。AIM： To evaluate the effect and safety of phacoemulsification and intraocular lens implantation under surface anesthesia for cataract in special crowd. METHODS： The clinical data of 96 cases（106 eyes） who underwent phacoemulsification and intraocular lens implantation under surface anesthesia during the passed 4 years was analyzed retrospectively, and the postoperative vision and complications were observed. The special crowd accorded with one of the next conditions： 71 cases （78 eyes）whose age was over or equal to 80 years old; 22 cases（22 eyes） with arrhythmia （antral tremble, antral early palpitation, chamber early palpitation）; 3 cases （6 eyes） with uraemia. RESULTS： All the operations on the cases were finished securely , and the visions were better than before. Thereinto, visions of 66 naked eyes, about 62.3% of total, were over or equal to 0. 3 after one day; visions of 85 naked eyes, about 80.2% of total, were over or equal to 0.3 after one week, visions of 96 naked eyes, about 90.6% of total,were over or equal to 0.3 after one month. The incidence of complications were very low. CONCLUSION： Phacoemulsification and intraocular lens implantation under surface anesthesia for cataract in special crowd seems to be safe and effective,and the key point of successful operation is to improve surgical technic.

关 键 词：特殊人群 表面麻醉 白内障 超声乳化 人工晶状体 

分 类 号：R779.66[医药卫生—眼科]