论文部分内容阅读
目的 研究白内障人工晶状体植入手术不同切口与屈光的关系。方法 进行白内障超声乳化 30眼 (A组 ) ,非超声乳化 5 5～ 6 .0mm小切口囊外摘出术 30眼 (B组 ) ,对照组白内障常规囊外摘出术 12mm切口 30眼 (C组 ) ,共 90例 ,90眼。病人均于术前、术后 1周和术后 1月 ,分别作视力、屈光、角膜曲率计、角膜地形图及角膜内皮显微镜对比检查 ,并在术后 1周及 1月分别作出评价。结果 术后 1周和 1月的视力A组和B组均明显高于C组 ,有显著性差异 (P <0 0 5 ) ,A、B两组视力无显著性差异 (P >0 0 5 )。结论 论证了白内障超声乳化吸出人工晶状体植入术和非超声乳化小切口囊外摘出术人工晶状体植入术是具有国际先进水平、安全有效的白内障复明手术方法 ,特别是后者 ,很值得在我国基层医院推广应用。
Objective To study the relationship between different incisions and refractive errors in cataract surgery with intraocular lens implantation. Methods Thirty eyes (group A) underwent cataract phacoemulsification and 30 eyes (50 eyes) underwent non-phacoemulsification with small incision extracapsular cataract extraction (group B), 30 eyes (control group) , A total of 90 cases, 90 eyes. All patients underwent visual acuity, refraction, keratometer, corneal topography and corneal endothelial microscopy before surgery, 1 week after surgery and 1 month after surgery. The patients were respectively evaluated at 1 week and 1 month after surgery. Results The visual acuity of group A and group B at 1 week and 1 month after operation was significantly higher than that of group C (P <0.05), but there was no significant difference between group A and group B (P> 0.05). ). Conclusion It is demonstrated that cataract phacoemulsification with intraocular lens implantation and non-phacoemulsification extracapsular cataract extraction with intraocular lens implantation is an internationally advanced, safe and effective method of cataract surgery, especially the latter, it is worth in our country Primary hospital promotion and application.