白内障手法碎核折叠人工晶状体植入术  

The treatment for cataract by manual nuclear fragmentation and foldable intraocular lens implantation

作　　者：郭建立[1] 姚方方[1] 刘宏真[1] 曹晋[1] 张建成[1] 

机构地区：[1]南阳市第一人民医院眼科,河南473010

出　　处：《中华眼外伤职业眼病杂志》2013年第7期516-518,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨白内障手法碎核、小切口非超声乳化摘出并折叠人工晶状体植入的临床效果。方法对61例（67眼）白内障，经3．2—4．5mm切口，用晶状体调位钩和晶状体圈匙配合碎核娩出，植入折叠人工晶状体，观察术后视力、角膜散光及并发症情况。结果手术均顺利完成。术后1d视力≥0．5者55眼，占82．08％。术后1周视力≥0．5者62眼，占92．54％；≥0．8者34眼，占50．75％。术后1个月、3个月视力较1周时无明显变化。术后1周的平均角膜散光度为（0．92±0．65）D，术后3月的平均散光度为（0．81±0．52）D。术中后囊破裂2眼，占2．99％。术后次日角膜水肿5眼，占7．46％。结论白内障手法碎核折叠人工状晶体植入是安全的、可行的。Objective To discuss the clinical effect of the technology of treatment for cataract by manual nuclear fragmentation and implantation of foldable intraocular lens through small incision. Methods 67 eyes of 61 cataract patients had undergone the making of 3.2 mm to 4.5 mm incision, nucleus frag- mentation by lens transposition hook and lens wire spoon, and implantion of the foldable intraocular lens. They were observed for the vision, corneal astigmatism and complications after the surgery. Results The surgery of all cases was done smoothly. One d after the surgery, 55 eyes had got a vision of no less than 0.5, accounted for 82.08% ; 1 week after the surgery, 62 eyes no less than O. 5, accounted for 92.54% ; 34 eyes were of no less than 0.8, accounted for 50.75% ; After 1 month and 3 month for reviewing, the vi- sion had no obvious change. The corneal astigmatism was （0.92 ± 0.65 ） D one week after the surgery. It was （0.81±0.52）D three months after the surgery. The number of the posterior capsular rupture in the op- eration was 2 eyes, accounted for 2.99%. The number of corneal edema was 5 eyes 1 day after the surgery, accounted for 7.46%. Conclusion The manual technique of nucleus fragmentation and implantion of fold- ing intraocular lens is safe and feasible for treatment of cataract.

关 键 词：白内障 碎核 手法 晶状体 人工 折叠式 

分 类 号：R779.66[医药卫生—眼科]