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目的观察老年人无晶状体眼二期前房型人工晶状体植入术的临床效果和安全性。方法回顾分析我院来自农村的33例33眼无晶状体老年患者施行二期前房型人工晶状体植入术的临床资料,包括手术前后视力、术中术后并发症以及手术中的操作要点。结果随访3个月至2年,术后矫正视力≥0.5者26眼(78.79%),与术前最好矫正视力≥0.5者23眼(69.70%)相比(χ2=0.32),无统计学意义(P>0.5);术中虹膜脱出1眼,玻璃体溢出2眼,虹膜周切时出血1眼,术中做了较好处理;术后早期均有前节的炎症反应,经一般治疗消失;短暂性高眼压4眼,对症治疗眼压恢复正常;1眼术后多次发生虹膜炎,药物局部应用有效;1眼光学区部分夹持;随访中没有发现角膜内皮失代偿。结论老年人无晶状体眼二期植入前房型人工晶状体安全、有效,特别是对于来自农村的老年患者,仍然是一种较好的选择。
Objective To observe the clinical effect and safety of phacoemulsification with phacoemulsification in the second phase of aphakia in the elderly. Methods Retrospective analysis of 33 cases of 33 cases of aphakic elderly patients from rural areas in our hospital for the implementation of two anterior chamber intraocular lens implantation clinical data, including visual acuity before and after surgery, intraoperative and postoperative complications and surgical points. Results The follow-up ranged from 3 months to 2 years. There were 26 eyes (78.79%) with corrected visual acuity ≥ 0.5 and 23 eyes (69.70%) with best corrected visual acuity ≥ 0.5 (χ2 = 0.32) Significance (P> 0.5); intraoperative iris prolapse one eye, vitreous overflow in two eyes, iris circumcision hemorrhage one eye, surgery done a better treatment; early postoperative inflammatory response in the anterior section, the general treatment disappeared ; Transient high intraocular pressure in 4 eyes, symptomatic treatment of intraocular pressure returned to normal; 1 postoperative multiple occurrence of iritis, topical application of drugs; 1 optical section of the partial clamping; no corneal endothelium decompensation found. Conclusion Aphakia implantation in the elderly in the second phase is safe and effective in the treatment of anterior chamber intraocular lenses (IOL), especially for elderly patients from rural areas.