目的分析老年性白内障超声乳化联合人工晶状体(IOL)植入术后发生医疗纠纷的原因。设计回顾性病例系列。研究对象北京同仁医院2012-2016年老年性白内障患者行超声乳化联合IOL植入术后纠纷患者58例。方法对术后纠纷比例、性别、年龄、术眼顺序、投诉主要内容描述及纠纷处理结果进行统计分析。主要指标纠纷比例、纠纷因素。结果 58例患者中51~80岁者50例(86.21%),女性33例(56.90%),双眼均手术者12例(20.69%)。投诉时间在术后4~6个月者41例(70.69%)。角膜水肿、角膜炎致患者术后视物模糊、异物感、磨痛投诉者16例(27.59%),黄斑前膜、黄斑水肿、高度近视致视力不提高或下降者15例(25.86%),玻璃体混浊术后飞蚊加重12例(20.69%),术后IOL下移致重影、眩光、头晕4例(6.90%),术后继发性青光眼3例(5.17%),后囊膜破裂致第一次手术时未植入IOL 1例(1.72%),眼内炎1例(1.72%),术后屈光不正致视近物不清楚1例(1.72%)。结论术后各种视觉不适相关症状及视力不提高是老年性白内障术后纠纷的主要原因,术前应充分与患者沟通及解释。 Objective To analyze the causes of medical disputes after phacoemulsification combined with intraocular lens (IOL) implantation in senile patients. Design retrospective case series. Research object Beijing Tongren Hospital in 2012-2016 58 cases of senile cataract patients after phacoemulsification and IOL implantation disputes. Methods The proportion of postoperative disputes, gender, age, surgical eye order, description of the main content of the complaint and the outcome of the dispute were statistically analyzed. The proportion of major indicators of disputes, disputes. Results Fifty - eight (86.21%) of the 58 patients were 51 ~ 80 years old, 33 (56.90%) were female and 12 eyes (20.69%) were operated in both eyes. The complaining time was 41 (70.69%) in 4 to 6 months after operation. Corneal edema and keratitis were observed in 15 cases (25.86%) in 16 cases (27.59%), blurred vision, macular edema and high myopia in patients with postoperative visual acuity, foreign body sensation, After the vitreous opacification, 12 cases (20.69%) of the mosquito flies were aggravated, 4 cases (6.90%) were glaucoma and dizziness, 3 cases were postoperative secondary glaucoma (5.17%), the posterior capsular rupture One case (1.72%) did not have IOL implanted in the first operation, one case had endophthalmitis (1.72%). Conclusions Postoperative various visual discomfort related symptoms and visual acuity are not the main reason of postoperative senile cataract. The patients should be fully communicated and explained before operation.