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目的:探讨手法小切口白内障摘除(manualsmallincisioncataractsurgery,MSICS)术中并发症发生原因及处理。方法:对160例白内障,局麻后行角巩膜隧道小切口白内障摘除并人工晶状体植入术,回顾其术中出现并发症的情况。结果:术中并发症主要是角膜损伤、后囊膜破裂、虹膜损伤、虹膜脱出、前房出血,主要原因是技术不熟练和操作经验不足。结论:掌握手术适应证和手术技巧,谨慎操作,可降低术中并发症的发生率,及时的处理术中并发症可以获得满意的手术效果。
Objective: To investigate the causes and management of intraoperative complications in manual small incision cataract extraction (manualsmallincisioncataractsurgery, MSICS). Methods: 160 cases of cataract and local anesthesia were treated with posterior scleral tunnel incision cataract extraction and intraocular lens implantation. The complication was reviewed. Results: Intraoperative complications were mainly corneal injury, posterior capsule rupture, iris injury, iris prolapse, anterior chamber hemorrhage, the main reason is the unskilled technique and lack of operational experience. Conclusion: To master the surgical indications and surgical techniques, cautious operation, can reduce the incidence of intraoperative complications, and timely treatment of intraoperative complications to obtain satisfactory surgical results.