改良小切口非超声乳化白内障手术在基层防盲中的应用  

Application of modified small incision non-phacoemulsification cataract operation in the primary prevention of blindness

作　　者：钟世强[1] 司马晶[2] 曾令斌[1] 张淑妮[1] 丘建琴 

机构地区：[1]中国广东省梅州市嘉应学院医学院附属医院眼科,514031 [2]中国广东省深圳市第二人民医院眼科,518031 [3]中国贵州省黄平县人民医院眼科,556100

出　　处：《国际眼科杂志》2014年第11期2064-2065,共2页International Eye Science

摘　　要：目的:探讨小切口非超声乳化术中改良9∶00方位辅助切口在基层防盲中的应用。方法:选白内障患者160例160眼,随机分为两组,对照组:行传统手法无缝线小切口非超声乳化白内障手术共75例75眼,试验组:小切口非超声乳化术中改良9∶00方位辅助切口患者85例85眼。比较两组患者术后不同时间手术性散光值,术后裸眼视力。结果:术后1,2wk;1,3mo时,两组的裸眼视力比较差异统有计学意义(P<0.05)。术后1,2wk;1,3mo时,两组的手术性散光值比较差异有统计学意义(P<0.05)。结论:改良小切口非超声乳化术中应用9∶00方位辅助切口减少了术后早期手术性散光,同时恢复视力好,具有一定实用性及有效性。AIM： To investigate the application of small incision non-phacoemulsification to construct 9 ＇clock range of auxiliary incision in the primary prevention of blindness.METHODS： Totally, 160 cataract patients（160 eyes ） were randomly divided into the observation group（85 cases, 85 eyes） that were constructed 9 o＇clock range of auxiliary incision in small incision non -phacoemulsification and the control group（75 cases, 75 eyes ） that was operated the traditional manual sutureless in small incision nonphacoemulsification. The operation time of postoperative astigmatism and postoperative visual acuity between the control group and the observation group were compared. RESULTS： There were statistical significance in visual acuity and the operation astigmatism at 1,2wk,1,3mo （ P〈 0.05）. CONCLUSION：To control 9 o＇clock range of auxiliary incision in small incision nonphacoemulsification reduces the operation of postoperative astigmatism and restore good eyesight at the same time, it has certain practicability and effectiveness.

关 键 词：白内障 改良术式 小切口非超声乳化术 手术性散光 

分 类 号：R779.66[医药卫生—眼科]