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目的介绍小切口无缝线非超声乳化白内障摘除术及要点 ,随访 12 3眼白内障在手术后的视力变化、并发症及转归。方法在表面麻醉和 /或筋膜下麻醉下施行Momose -AKura巩膜隧道小切口无缝线手法娩核联合人工晶体植入术。结果 12 3眼全部植入PMMA人工晶体 ,术后一天视力≥ 0 8者 4 1眼 (33 33% ) ,0 4～ 0 6者 6 4眼 (5 2 0 3% ) ,视力≤ 0 3者 18眼 (14 6 3% ) ,术后 2周视力≥0 8者 84眼 (6 8 2 9% ) ,0 4～ 0 6者 33眼 (2 6 83% ) ,≤ 0 3者 6眼 (4 87% )。无一例发生角膜内皮失代偿。结论小切口无缝线非超声乳化白内障摘除术创伤小、复明快 ,易于掌握 ,具备超声乳化手术的优点 ,是治疗白内障的一种好方法
Objective To introduce small incision non - phacoemulsification cataract extraction and its main points. The changes of visual acuity, complications and prognosis of 123 cataract patients were followed up. METHODS: Momose-AKura scleral tunnel incision sutureless suture combined with intraocular lens implantation under surface anesthesia and / or subfascial anesthesia was performed. Results All 12 eyes were implanted with PMMA intraocular lens. One day after operation, the visual acuity was ≥ 0.8, 41 eyes (33.33%), 44.0% (64.0%), visual acuity ≤ 0.3 18 eyes (14 6 3%), 2 eyes 84 eyes (682 9%) 2 eyes after operation, 33 eyes (26 83%) 0 4 ~ 0 6, 6 eyes 4 87%). No case of corneal endothelial decompensation. Conclusion Small incision suture non-phacoemulsification cataract surgery trauma, complex fast, easy to grasp, with the advantages of phacoemulsification surgery, is a good way to treat cataract