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目的探讨小切口非超声乳化白内障囊外摘除及人工晶状体植入术的手术方法以及临床效果。方法回顾性分析66例(66眼)施行小切口非超声乳化白内障囊外摘除及人工晶状体植入术治疗的白内障患者的临床资料,观察手术效果。结果术后1周视力≥0.5者50眼,0.1~0.4者14眼,≤0.1者2眼;术后1个月视力≥0.5者60眼,0.1~0.4者5眼,≤0.1者1眼。术中少量虹膜出血2例,均自行止血;后囊膜破裂伴玻璃体脱出1例;前房渗出3例,经抗炎后1~2周内缓解;角膜水肿6例,1周内缓解。未发生其他严重并发症。结论小切口非超声乳化白内障囊外摘除及人工晶状体植入术的手术方法创伤小、并发症少,患者术后视力恢复快,是一种安全有效的白内障复明手术。
Objective To investigate the surgical methods and clinical effects of extracapsular cataract extraction combined with intraocular lens implantation for small incision non-phacoemulsification. Methods The clinical data of 66 patients (66 eyes) with cataract treated by small incision non - phacoemulsification cataract extraction and intraocular lens implantation were retrospectively analyzed. The operative effect was observed. Results One week after operation, the visual acuity was 0.5, 50 eyes 0.1 ~ 0.4, 14 eyes 0.1 ~ 0.4, 2 eyes ≤ 0.1. One month after operation, 60 eyes were ≥ 0.5, 5 eyes 0.1 ~ 0.4, and 1 eyes ≤ 0.1. A small amount of intraoperative iris bleeding in 2 cases, all to stop bleeding; posterior capsular rupture with vitreous prolapse in 1 case; anterior chamber effusion in 3 cases, after anti-inflammatory within 1 to 2 weeks to ease; corneal edema in 6 cases, 1 week remission. No other serious complications occurred. Conclusions Small incision non-phacoemulsification extracapsular cataract extraction and intraocular lens implantation is a safe and effective cataract surgery with less trauma and fewer complications.