表面麻醉下白内障超声乳化人工晶状体植入术治疗合并白内障的疗效观察  

Observation of Curative Effect of Cataract Phacoemulsification and Intraocular Lens Implantation Under Topical Anesthesia in the Treatment of Complicated Cataract

作　　者：彭艳 Peng Yan(Ophthalmic Operating Room,Second People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市第二人民医院眼科手术室,河南郑州450000

出　　处：《哈尔滨医药》2023年第1期24-26,共3页Harbin Medical Journal

摘　　要：目的 分析行超声乳化(PHACO)人工晶状体植入术治疗白内障患者采用表面麻醉的应用价值。方法 对行表面麻醉下PHACO人工晶状体植入术的240例(253只眼)患者的临床资料进行回顾性分析。评估患者术后视力恢复情况,比较患者术前术后眼压、前房角、前房深度变换情况以及散光度和并发症发生率。结果 术后第1天裸眼视力≥0.5者163眼,占64.03%,术后第7天裸眼视力≥0.5者211眼,占83.39%,术后1个月裸眼视力≥0.5者227眼,占89.72%;患者术后平均眼压为(18.71±2.80)mmHg,较术前的(34.61±5.19)mmHg有明显的下降;与术前相比较,术后患者的中央前房深度均有明显的增加,且房角有所增宽;患者术后1、3个月的散光度较术前相比均有明显下降;术中并发症虹膜脱出占比5.92%,后囊膜破裂占比5.13%,术后并发症主要为角膜水肿,占比9.48%。结论 采用表面麻醉下PHACO人工晶状体植入术对白内障患者进行治疗,临床效果显著,患者的视力和眼压水平得到明显改善,且散光度减少,同时能有效降低术中术后并发症发生情况,安全性高,值得在临床推广和应用。Objective To investigate the efficacy of phacoemulsification and intraocular lens implantation under topical anesthesia in the treatment of combined cataract.Methods A retrospective analysis of 240 patients(253 eyes)who underwent cataract phacoemulsification and intraocular lens implantation under topical anesthesia.Assess the patient’s visual acuity recovery after surgery,The intraocular pressure,anterior chamber angle,anterior chamber depth transformation and astigmatism were compared before and after surgery,and the incidence of intraoperative and postoperative complications was calculated.Results 163 eyes had uncorrected visual acuity ≥0.5 on the first day after operation,accounting for 64.03%,211 eyes had uncorrected visual acuity ≥0.5 on the seventh day after operation,accounting for 83.39%,and 227 eyes had uncorrected visual acuity ≥0.5 one month after operation,accounting for 89.72%;The mean intraocular pressure of the patients after operation was(18.71±2.80)mmHg,which was higher than that before operation(34.61±5.19)mmHg decreased significantly;compared with preoperative,the depth of the central anterior chamber of the patients was significantly increased,and the angle of the chamber was widened;the astigmatism of the patients at 1 and 3 months after surgery was significantly higher than that before surgery.Compared with preoperative,there were significant decreases;intraoperative complications accounted for 5.92% of iris prolapse,5.13% of posterior capsular rupture,postoperative complications were mainly corneal edema,accounting for 9.48%.Conclusion The clinical effect of cataract phacoemulsification and intraocular lens implantation for cataract patients under topical anesthesia is remarkable,which can not only effectively improve the patients’ vision,reduce the patients’ intraocular pressure and astigmatism,but also effectively reduce the occurrence of intraoperative and postoperative complications.It has high safety and is worthy of clinical promotion and application.

关 键 词：白内障 表面麻醉 超声乳化 人工晶状体植入 

分 类 号：R776.1[医药卫生—眼科]