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目的：评价白内障超声乳化吸出术（Ｐｈａｃｏ）＋人工晶体植入（ＩＯＬ）的临床疗效，并与同期白内障现代囊外摘除（ＥＣＣＥ）＋人工晶体植入术疗效对比。方法：比较 １４６只眼 Ｐｈａｃｏ＋ＩＯＬ及同期 ６０只 ＥＣＣＥ＋ＩＯＬ术后的视力、散光及并发症。结果：术后１周、１月、３个月，Ｐｈａｃｏ。组视力明显优于ＥＣＣＥ组。视力＞０．５，１个月时分别为８２％和７６．５％，３个月时分别为８４．３％和７６％。视力≥１．０，ｌ个月时分别为引．５％和２１％，３个月时分别为６３％和２８．５％，两组角膜散光均数比１月时分别为１．２３±０．４５Ｄ，２．２５±０．４７Ｄ，３月０．８７±０．４３Ｄ，１．８４±０．４４Ｄ，有显著差异性。术后反应如角膜一过性水肿，前房渗出等并无明显差别。结论：超声乳化白内障恢复快、好，术后散光少，较ＥＣＣＥ有明显优点。
Objective: To evaluate the clinical efficacy of phacoemulsification and intraocular lens implantation (IOL) and to compare the efficacy of modern extracapsular cataract extraction (ECCE) and intraocular lens implantation. Methods: Visual acuity, astigmatism and complications after Phaco + IOL in 146 eyes and 60 ECCE + IOL in the same period were compared. Results: 1 week, 1 month, 3 months after surgery, Phaco. Group vision was significantly better than the ECCE group. Visual acuity> 0.5 at 1 month, 82% and 76.5% respectively, 84.3% and 76% at 3 months respectively. Visual acuity ≥1.0, l months respectively cited. 5% and 21% respectively, 63% and 28.5% at 3 months respectively. The corneal astigmatism was 1.23 ± 0.45D and 2.25 ± 0.47D respectively in March and March 0.87 ± 0.43D, 1.84 ± 0.44D, there are significant differences. Postoperative reactions such as transient corneal edema, anterior chamber exudation no significant difference. Conclusion: Phacoemulsification cataract recovery fast, good, less postoperative astigmatism, compared with ECCE obvious advantages.