在防盲治盲中应用反眉弓小切口摘除联合人工晶状体植入术  

Application of anti-eyebrow small incision cataract extraction combined with IOL implantation in blindness prevention and treatment

作　　者：王登珍[1] 

机构地区：[1]中国江苏省泰州市第二人民医院眼科,225500

出　　处：《国际眼科杂志》2014年第9期1680-1682,共3页International Eye Science

摘　　要：目的：观察反眉弓小切口白内障摘除术联合人工晶状体植入术在防盲治盲工作中的应用效果。方法：于2010-05/2013-08期间对残联复明工程中526例白内障患者实施反眉弓形小切口白内障联合人工晶状体植入手术。结果：术后1d,裸眼视力〉0.3者345例（65.6%）,0.1～0.3者152例（28.9%）,〈0.1者29例（5.5%）;术后1wk裸眼视力〉0.5者395例（75.1%）,裸眼视力0.3～0.4者101例（19.2%）,〈0.3者30例（5.7%）。脱盲率100%,脱残率92.5%;术中发生后囊膜破裂16例,虹膜根部离断3例,角膜后弹力层部分撕脱2例,术后发生角膜水肿56例,角膜中央基质层水肿10例,继发性高眼压22例,均通过相应处理后恢复至正常。结论：反眉弓小切口白内障摘除术联合人工晶状体植入术效果良好,且并发症发生率低,安全性较高,可以在大规模的复明工程中推广应用。AIM： To observe the application effect of anti-eyebrow small incision cataract extraction combined with IOL implantation in blindness prevention and treatmentMETHODS： A total of 526 cataract patients included in regaining sight project of China Disabled Persons＇ Federation were underwent anti- eyebrow small incision cataract extraction combined with IOL implantation from May 2010 to August 2013.RESULTS： Postoperative 1d,uncorrected visual acuity 0.3 were 345 cases（ 65. 6%）,0. 1- 0. 3 were 152 cases（ 28.9%）,0.1 were 29 cases（ 5.5%）; 1wk after surgery： 0.5 were 395 cases（ 75.1%）,0.3-0.4 were 101 cases（ 19.2%）,0.3 were 30 cases（ 5.7%）. Visual recovery rate was100%,residual rate was 92. 5%. Intraoperative,16 cases occurred posterior capsular rupture,3 cases iridodialysis,2 cases were Descemet＇s membrane avulsion.Postoperative,56 cases ocurred corneal edema,10 cases of central cornea stroma edema,22 cases of secondary high intraocular pressure,were restored to normal bansis on the corresponding treatments.CONCLUSION： Anti- eyebrow small incision cataract extractio combined with IOL implantation is effective,and has low complication rate, high security, can popularization and application in large- scale sight rehabilitating project.

关 键 词：反眉弓小切口 白内障摘除术 人工晶状体植入术 防盲 治盲 复明 

分 类 号：R779.66[医药卫生—眼科]