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现代白内障手术的切口趋势为3─6mm的小切口,它以损伤小、愈合快、术后散光度低而为人们所称道。本文报道20例(32眼),经随访3个月结果表明:1.术后一周视力>0.5者23眼(71.9%),1月视力>0.5者28眼(87.6%)。2.术后散光:与大切口术式比较有显著差异(P<0.01)。3.炎性反应:刺激症状明显较大切口轻。作者体会:1.切口长度需根据人工晶体镜盘及晶体核大小而定;切口选在12:00点方位便于操作。2.选择囊袋内人工晶体植入可减少或避免角膜内皮混浊。3.应使用足够量的粘弹剂。4.切口宜缝合1─2针。
The incision trend of modern cataract surgeries is a small incision of 3 to 6 mm, which is praised by people for its small damage, rapid healing and low postoperative astigmatism. This article reports 20 cases (32 eyes), 3 months follow-up results show that: 1. There were 23 eyes (71.9%) with visual acuity> 0.5 in one week and 28 eyes (87.6%) with visual acuity> 0.5 in January. 2. Postoperative astigmatism: Compared with the large incision surgery were significantly different (P <0.01). 3. Inflammatory reaction: irritation significantly larger incision light. Author experience: 1. The length of the incision should be based on the size of the intraocular lens and the crystal nucleus; the incision is selected at 12:00 o’clock for easy operation. 2. Intraocular lens implantation can reduce or avoid corneal endothelial opacity. 3. Use a sufficient amount of viscoelastic. 4. Cut should be stitched 1 ─ 2 needle.