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目的:探讨老年性白内障小切口手法劈核联合人工晶状体植入术的手术方式、临床效果及术后角膜曲率的变化。方法:对278例(291眼)老年性白内障行小切口手法劈核联合人工晶状体植入术。分析手术方式的适宜性及治疗效果。结果:术后1周、1月、3月,裸眼视力0.5及其以上者分别为189眼(64.95%)、221眼(75.95%)、229眼(78.69%),术后1周、1月、3月的垂直径和水平径角膜曲率分别与术前相比无显著性差异(P>0.05)。结论:老年性白内障行小切口手法劈核联合人工晶体植入术获得满意疗效,而且不需特殊的仪器设备,值得推广应用(尤其适合在基层医院开展)。
Objective: To investigate the surgical method, clinical effect and postoperative corneal curvature of phacoemulcification combined with intraocular lens implantation in senile cataract with small incision. Methods: A total of 278 eyes (291 eyes) with senile cataract were treated with small incision nuclear splitting and intraocular lens implantation. Analysis of the suitability of surgical methods and treatment. Results: One week after operation, the visual acuity of 0.5 or more in the first month, the third month and the third month after operation were 189 eyes (64.95%), 221 eyes (75.95%), 229 eyes (78.69% In March, there was no significant difference between the vertical diameter and the horizontal diameter in corneal curvature (P> 0.05). CONCLUSION: Small incision phacoemulsification combined with intraocular lens implantation in senile cataract patients achieves satisfactory results without special equipment and is worth popularizing (especially suitable for primary hospitals).