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目的 对3 0毫米切口行白内障超声乳化同期植入预装式人工晶体的手术结果的回顾性总结。方法 随机选择白内障患者2 38例30 0眼行上述手术,并分别对术后视力、角膜水肿情况等进行观察分析。结果 术后一个月裸眼视力≥0 . 5以上者有2 4 9眼(83% ) ;≥1 0者16 8眼(56 % ) ;术后2 5眼(8 3% )出现角膜轻中度水肿及内皮皱褶,未经特殊处理于2周内恢复;2例(0 . 7% )术后眼压暂时性偏高;术后未见明显渗出,眼内炎感染率为0 % ;人工晶体破损有5例(1. 7% ) ;人工晶体翻转有3例(1% )。结论 使用预装式人工晶体能够提高手术效率,减少术中、术后感染率;术后反应轻,并发症少,可获得较好的视力
Objective To retrospectively summarize the surgical results of cataract phacoemulsification and prefilled intraocular lens implantation in a 30 mm incision. Methods Two hundred and thirty-three cataract patients were randomly selected to undergo the above operation, and their postoperative visual acuity and corneal edema were observed and analyzed respectively. Results One month after operation, there were 294 eyes (83%) with uncorrected visual acuity of 0.5 or more, 16.8 eyes (56%) ≥10, and 2.5% Edema and endothelial folds were recovered within 2 weeks without special treatment. The intraocular pressure (IOP) transiently elevated in 2 patients (0.7%) after operation; no obvious exudation was found after operation, the rate of endophthalmitis infection was 0%; Intraocular lens damage in 5 cases (1.7%); IOL inversion in 3 cases (1%). Conclusion The prefilled intraocular lens (IOL) can improve the operation efficiency and reduce the intraoperative and postoperative infection rate. The postoperative reaction is light, the complication is less, and the better visual acuity