超声乳化白内障摘出及5.5mm切口晶状体植入术  

Phacoemulsification and intraocular lens implantation through a 5.5 mm incision

作　　者：夏旭光[1,2] 朱思泉[1,2] 何湘珍[1,2] 彭辉灿[1,2] 

机构地区：[1]衡阳医学院附属第二医院眼科 [2]中山医科大学附属第三医院眼科

出　　处：《眼科研究》1999年第2期136-137,共2页Chinese Ophthalmic Research

摘　　要：目的探讨并总结原位超声乳化技术及５．５ｍｍ无缝线隧道切口人工晶状体植入术的方法和经验。方法总计５．５ｍｍ无缝线隧道切口的白内障４６８只眼，刻度钻石刀作巩膜隧道切口，原位超声乳化，能量为５０％～７０％，时间１０ｓ至１ｍｉｎ３８ｓ，平均４６ｓ，植入５．５ｍｍＰＭＭＡ人工晶状体。结果术后第１天视力≥０．５者９５％，术后１个月视力≥１．０者９６％，全部病例无严重并发症。结论原位超声乳化白内障摘出及５．５ｍｍ无缝线隧道切口的人工晶状体植入术，具有手术时间短、无缝线、散光小及视力恢复快等优点。ObjectiveTo investigate the technique of phacoemulsification in situ for cataract extraction and 5.5 mm intraocular lens (IOL) implantation.MethodsOf 468 eyes with 5.5 mm tunnel incision cataract were included. Tunnel incision was made by measure knife of diamond. Cataract extraction was used phacoemulsification in situ nuclear fracture technique. 50%～70% energy was set up. Phacoemulsification time was 10s to 1min 38s (mean 46s). 5.5 mm PMMA IOL was implanted.ResultsIn the first postoperative day 445 eyes(95%)reached the vision of 0.5 or better. One month later 449 eyes(96%)reached 1.0 or better. There were no serious operative complications.ConclusionThe technique of phacoemulsification in situ and IOL implantation cut down operative time and degree of astigmatism and shorten the period of vision rehabitation.

关 键 词：白内障 超声乳化术 人工晶体植入术 

分 类 号：R776.105[医药卫生—眼科] R779.6[医药卫生—临床医学]