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目的观察白内障隧道式小切口手术的临床效果,探讨术中术后并发症的防治。方法选择2008年9月至2011年6月我院行隧道式小切口白内障囊外摘除联合人工晶体植入手术。结果术后3d,视力0.3以上169例占72%,术后1个月,视力0.3以上214例占91%,术中常见并发症有前囊膜撕裂32例占13.6%、后囊膜破裂26例占11%、虹膜脱出15例占6%、角膜损伤9例占3.8%等,术后常见并发症有角膜水肿46例占19.5%、高眼压30例占12.7%、前房积血6例2.5%、人工晶体脱位2例占0.8%等。结论白内障隧道式小切口手术切口小,不缝线,散光程度轻,术后视力恢复快。
Objective To observe the clinical effect of small incision cataract surgery and explore the prevention and treatment of intraoperative and postoperative complications. Methods Sept. 2008 to June 2011 in our hospital small tunnel incision extracapsular cataract extraction and intraocular lens implantation surgery. Results Three days after operation, 169 eyes had visual acuity of 0.3%, accounting for 72%. One month after operation, visual acuity was 0.3% and 214 cases accounted for 91%. There were 32 cases (13.6%) of anterior capsular tears and posterior capsular rupture 26 cases accounted for 11%, iris prolapse in 15 cases accounted for 6%, corneal injury in 9 cases accounted for 3.8%, postoperative common complications were corneal edema in 46 cases accounted for 19.5%, intraocular pressure in 30 cases accounted for 12.7%, hyphema 6 cases 2.5%, 2 cases of intraocular lens dislocation accounted for 0.8% and so on. Conclusions Small incision in cataract tunnel incision is small, no suture, astigmatism degree is light, quick recovery of visual acuity.