低倍镜补偿景深超声乳化手术和小切口白内障手术对比观察  

Clinical observation on low magnification compensation depth phacoemulsification and small incision cataract surgery

作　　者：李建超[1] 彭清华[1] 谭涵宇[1] 王运[2] 谢文军 文小娟[1] 

机构地区：[1]湖南中医药大学研究生院,中国湖南省长沙市410007 [2]湖南省人民医院眼科,中国湖南省长沙市410007 [3]宁乡县人民医院眼科,中国湖南省长沙市410600

出　　处：《国际眼科杂志》2016年第1期84-86,共3页International Eye Science

基　　金：湖南省高层次卫生人才"225"工程培养资助项目(No.湘卫人发[2013]13号)~~

摘　　要：目的:观察低倍镜补偿景深下超声乳化白内障摘除术和小切口白内障囊外摘除术的临床疗效。方法:回顾性分析869例1258眼白内障患者手术治疗的情况,其中采用超声乳化白内障摘除手术者共计247例432眼;采用小切口白内障摘除术者共计622例826眼,对患者的术后视力、角膜内皮计数、角膜水肿情况及并发症进行统计学分析。结果:两组患者术后1wk,1mo视力恢复情况和术后1d角膜水肿情况无统计学差异(P>0.05);角膜内皮计数损失小切口白内障摘除手术组较超声乳化白内障摘除组略好(P<0.05)。结论:基层医院手术显微镜景深不够清晰的情况下,仍可采用低倍镜补偿景深开展小切口白内障囊外摘除术和超声乳化白内障摘除术。AIM： To observe clinical effects of phacoemulsification cataract surgery and small incision cataract extraction surgery under low magnification compensation depth. METHODS：A retrospective analysis of 869 cases（1 258 eyes）underwent cataract surgeries were taken, including 247 cases（432 eyes）with phacoemulsification, and 622 cases（826 eyes）with small incision cataract surgery. The patients＇ visual acuity, corneal endothelial counting, corneal edema and complications were analyzed statistically. RESULTS：There was no significant difference between the two groups at postoperatively 1wk, 1mo on visual recovery and at 1d postoperatively on corneal edema（P〉0.05）. The loss of corneal endothelial after small incision cataract surgery was slightly better than that after the phacoemulsification（P〈0.05）. CONCLUSION：When the depth of surgical microscopes in the primary hospital is not clear enough, small incision extracapsular cataract extraction surgery and phacoemulsification will still be carried out under the low magnification compensation depth.

关 键 词：小切口白内障囊外摘除术 白内障超声乳化术 白内障 

分 类 号：R779.66[医药卫生—眼科]