不同切口超声乳化术对老年白内障术后康复的影响  

The effect of different incision phacoemulsification cataract surgery on elderly patients after rehabilitation

作　　者：高鑫[1] 王燕[1] 任百祥[1] 

机构地区：[1]固原市人民医院眼科,宁夏固原756000

出　　处：《西部医学》2016年第2期248-250,共3页Medical Journal of West China

基　　金：固原市科技局资助项目(201006107)

摘　　要：目的探讨角膜切口超声乳化术与角巩膜缘切口超声乳化术对老年白内障患者术后视力恢复、切口修复时间、术后角膜散光的影响。方法 2015年7月至2015年12月选取本院眼科收治的90例老年白内障患者为研究对象,根据超声乳化术切口方式将患者分为角膜切口组(A组)45例及角巩膜缘切口组(B组)45例,对比分析两组患者术后视力改善情况、切口修复时间、术后散光度。结果 B组上皮修复时间、切口修复时间均短于A组(P<0.05)。B术后7d、14d、28d最佳矫正视力及裸眼视力高于对照组(P<0.05)。B组治疗后7d、14d、28d手术源性角膜散光度及平均角膜散光度均低于A组(P<0.05)。结论角巩膜缘切口在超声乳化术中应用价值更高,能减轻手术对患者切口的创伤,减少患者术后散光度,可促进患者术后视力提高。Objective To investigate different incision phacoemulsification cataract surgery on the vision recovery, cut recovery time, and vision on elderly patients after rehabilitation. Methods 90 senile cataract patients were divided into corneal incision group （group A,n=45） and imbal incision （group B,n=45）. The visual acuity improvement, wound re- pair, postoperative astigmatism of two groups were analyzed. Results The healing time, wound recovery time of group B were shorter than that of groups A （P〈0.05）. The best corrected visual acuity and uncorrected visual acuity of groups 13 after 7d, 14d, 28d were higher than that of groups A （P〈0.05）. The surgically induced corneal astigmatism and corneal astigmatism of Group B after treatment 7d, 14d, 28d were lower than that in group A （P〈0.05）. Conclusion The lim- bal incision used in phacoemulsification higher value can reduce surgical trauma to the patient incision and postoperative a- stigmatism patient sand promote visual acuity patients improvement.

关 键 词：角膜切口 角巩膜缘切口 超声乳化术 老年白内障 最佳矫正视力 散光度 

分 类 号：R776.1[医药卫生—眼科]