前房维持器在小切口非超乳硬核白内障中的临床应用分析  

Clinical study of anterior chamber maintainer in the treatment of sclerocataracta through non-phacoemusification minimal-incision

作　　者：黄海涛[1] 赵永旺[1] 易笃友[1] 余钦其[1] 

机构地区：[1]湖南永州职业技术学院附属医院眼科,湖南425100

出　　处：《中国实用眼科杂志》2011年第12期1316-1318,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨前房维持器在小切口非超乳硬性白内障中的临床应用。方法将术前诊断为三级以上的硬核白内障190例200只眼的患者，随机分为A组（前房维持器组）96例102只眼，B组（常规小切口组）94例98只眼进行手术。对两组手术需要的时间，术中所要的黏弹剂量，后囊破裂情况，术后（1d，1周，1月，3月，6月）视力，眼压，角膜水肿程度，前房炎症反应，黄斑囊样水肿，后发障等进行观察对比研究。结果A组在视力恢复时间（1周内）；术中、术后的并发症（23眼）；所需手术时间（15±3）min；材料消耗（0．2±0．1）ml；都优于B组视力恢复时间（1周内）术中、术后的并发症（64眼），所需的手术时间（23±2）min，材料消耗（0．5±0．1）ml。结论在硬性白内障手术时，应用前房维持器是安全，高效的，值得推广应用。Objective To explore the clinical application of anterior chamber maintainer （ACM） in the treatment of sclerocataracta using non-phacoemusification minimal-incision. Methods A total of prospectively 190 patients （200 eyes） with grade III or higher sclerocataracta randomized into two groups. Group A had 96 cases of 102 eyes using ACM; group B had 94 cases of 98 eyes using traditional minimal-incision. The operation time, viscoelastic agents, posterior capsular rupture, postoperative visual acuity, intraocular tension, the extent of corneal edema, anterior chamber inflammation, cystoid macular edema and the incidence of after cataract between the two groups were compared. Resuits Compared with group B, group A had less intro- and post-operative complications. The operation time was shorter and the dose of viscoelastic agents was lower in group A. Conclusions The use of ACM in treating sclerocataracta is safe and efficient, which is worth to be popularized.

关 键 词：前房维持器 白内障 小切口非超声乳化 

分 类 号：R776.1[医药卫生—眼科]