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目的 :观察反眉状遂道式小切口白内障摘除人工晶体植入术的手术效果及并发症。方法 :在角膜缘后 2mm处做一弧长 6mm的反眉状隧道式切口 ,从该切口进入眼内完成白内障摘除人工晶体植入手术。结果 :术眼视力在术后一周内 4 0 %达≤ 0 .5,术后一个月视力在 0 .5～ 1.0者达 70 % ,>1.0者达 30 % ;常见并发症 :角膜水肿和内皮混浊 (14眼 ,70 % )、色素脱落和葡萄膜炎性反应 (6眼 ,30 % )、瞳孔欠圆 (1眼 ,5% )、后囊破裂 (2眼 ,10 % ) ;结论 :该术式创面组织损伤小、术后散光少、视力恢复快、创口愈合好 ,只需术中认真把握对晶体核的处理 ,即能获得较好的手术效果。
OBJECTIVE: To observe the surgical effect and complications of inverted brow-like tunnel incision cataract extraction and intraocular lens implantation. METHODS: An arc-brow tunnel incision with an arc length of 6 mm was made at 2 mm posterior to the cornea, and cataract extraction and intraocular lens implantation was performed from the incision into the eye. Results: The visual acuity was 40% within one week after operation, and the visual acuity was 70% in 0.5 ~ 1.0 months and 30% in> 1.0 one month after operation. Common complications were corneal edema and endothelium (14 eyes, 70%), hypopigmentation and uveitis (6 eyes, 30%), pupil roundness (1 eyes, 5%) and posterior capsule rupture (2 eyes, 10%). Conclusion: Tissue wound tissue injury is small, less postoperative astigmatism, rapid visual acuity, wound healing, as long as the intraoperative treatment of the crystal nucleus, that can get better surgical results.