角膜隧道切口超声乳化白内障吸除折叠式人工晶状体植入术临床观察  

Clinical observation of cataract phacoemulsification and foldable intraocular lens implantation through a corneal incision

作　　者：吴萍[1] 冯桂平[1] 张洪沛[1] 

机构地区：[1]中国大连市第二人民医院眼科,116002

出　　处：《美中国际眼科杂志》2001年第4期48-50,共3页

摘　　要：目的 探讨角膜隧道切口超声乳化白内障吸除及折叠式人工晶状体植入手术的方法和疗效。方法 对136例(162只眼)老年性白内障,采用角膜隧道切口长3.2mm,隧道长1.75mm切口的方法,行超声乳化注入器法白内障吸除术,同时植入硅胶类三片式折叠式人工晶状体。结果 术後1天、1周,1个月和3个月裸眼视力≥0.5者分别为126(77.8％)、131(80.9％)、135(83.3％)、143(88.3％),并对115只眼手术前与手术後1个月、3个月散光情况进行t检验,结果无显著性差异(P>0.05)。结论 角膜隧道切口超声乳化白内障吸除折叠式人工晶状体植入术,手术操作简单,损伤小,术後反应轻,裸眼视力恢复快,屈光状态稳定,疗效满意。Objective To study the surgical procedureds and effects of cataract phacoemulification and foldable intraocular lens implantation through a comeal tunnel incision. Methods Cataract phacoemulsification and three-piece silicone foldable intraocular lens implantation were performed through a 3.2mm corneal incision and 1.75mm tunnel incision of 162 eyes of 136 patients with senile cataract. Results The percentages of patients with naked vision ≥0.5 postoperatively at 1 day, 1 week, 1 month and 3 month were 77.8%, 80.9%, 83.3% and 88.3%, respectively. T-test showed significant difference between the mean preoperative astigmatism and postoperative astigmatism at 1 and 3 months (P >0.05) among 115 eyes. Conclusion The surgical incision is small and easy to perform. Postoperatively, the reaction is mild and visual rehabilitation takes shorter time. The refractive status is stable and the postoperative curative effects are satisfactory.

关 键 词：超声乳化白内障吸除术 角膜隧道切口 折叠式人工晶状体植入术 临床观察 

分 类 号：R779.66[医药卫生—眼科]