白内障小切口非超声乳化术向超声乳化术转型中的技术转变体会  

Clincal Outcome in Conversion from Small Incision Sutureless to Phacoemulsification Cataract Surgery

作　　者：鲁宇容[1] 石浔[1] 俞方良[1] 郭海科[2] 

机构地区：[1]南昌大学第三附属医院眼科,南昌330008 [2]广东省人民医院眼科,广州510080

出　　处：《Eye Science》2010年第1期31-33,共3页眼科学报（英文版）

摘　　要：目的:探讨白内障小切口非超声乳化术向超声乳化术转型中的技术转变。方法:对2009年4月—2009年12月"光明工程"中白内障超声乳化手术转型期193例193眼的情况进行回顾性分析,同期行小切口非超声乳化吸除术患者43例48眼作对照。结果:对照组术后第1日裸眼视力大于或等于0.5的比例高于治疗组(P<0.05),术后第1周、第1个月裸眼视力大于或等于0.5及术后第1个月最佳矫正视力大于或等于0.5的比例,两组比较差异无统计学意义(均P>0.05)。对照组术后主要并发症比率均低于治疗组(均P<0.05)。结论:小切口非超声乳化术向超声乳化术转型中,因技术差异较大,发生后囊破裂和角膜内皮水肿的几率较高,转型此手术要有熟练的显微手术基础、处理并发症的能力和一定的设备条件。Purpose：To investigate the clinical outcome during the conversion from small incision sutureless cataract surgery（SICS） to phacoemulsification cataract surgery（Phaco）. Methods：During the conversion period from SICS to phaco,241 cataract cases were assigned to SICS and phaco surgery procedures.The intraoperative complications and early postoperative outcome were assessed. Results：The 1st day visual acuity outcome（VA 0.5 or better） was lower in phaco grouop（P 0.05）,however,the visual acuity outcomes were no longer statistically different at 1 week and 1 month visits（P 0.05 for each visit）.Among 193 cases operations in phaco group,51 cases（26.4%） developed corneal edema at 1 day visit,13 cases（6.7%） had posterior capsular rapture,5 cases（2.6%） had zonular rupture,5 cases（2.6%） failed to implant IOL.These rates were higher than what were found in SICS group. Conclusion：The outcome of phaco cataract surgery is comparable with SICS during this conversion period.Techniques that the surgeons may pay attention to are also discussed.

关 键 词：超声乳化术 小切口白内障摘除术 白内障摘除术 

分 类 号：R779.66[医药卫生—眼科]