白内障合并翼状胬肉两种手术方案的选择  

The clinical effects of two operative procedures for cataract patients with pterygium

作　　者：罗康怡[1] 杜冰[1] 姚晓明[1] 

机构地区：[1]暨南大学医学院深圳眼科中心深圳市眼科医院,广东深圳518040

出　　处：《中华眼外伤职业眼病杂志》2012年第8期621-623,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨老年性白内障合并翼状胬肉两种手术方案的临床效果。方法回顾性分析我院107例翼状胬肉未遮盖瞳孔区的老年性白内障，按其接受手术方案分为两组，A组行超声乳化吸出＋人工晶状体植入联合翼状胬肉切除术，B组先行翼状胬肉切除术，术后2～4d再行超声乳化吸出＋人工晶状体植入术，观察手术前后裸眼视力，最佳矫正视力，角膜散光及术后屈光度并加以比较。结果与联合手术相比，分次手术术后残余屈光不正度数更低，术后裸眼视力更好。结论老年性白内障合并翼状胬肉先行翼状胬肉手术，再行超声乳化吸出白内障能取得更好效果。Objective To discuss the clinical effects of two operative procedures for senile cataract patients with pterygium. Methods A retrospective survey of senile cataract with pterygium was conducted. 107 cases were divided into two group according to their operative procedures. For group A, cataract phacoe- mulsification and intraocular lens implantation （phaco）combined with pterygium excision was performed; for group B, pterygium was firstly removed and then the phaco performed 2 to 4 days later. Visual acuity, best corrected visual acuity, corneal astigmatism and postoperative refraction before and after surgery were ob- served and compared. Result The patients who accepted the surgeries in two stages get less postoperative refraction and better postoperative visual acuity than those combined surgeries. Conclusion For senile cata- ract patients with pterygium, phaco perfomed 2 - 3 days following pterygium resection would achieve better clinical results compared to those treated with the combined surgeries.

关 键 词：白内障 翼状胬肉 手术 

分 类 号：R779.6[医药卫生—眼科]