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目的:了解全粘连小瞳孔的白内障病人在手术前后眼压,眼轴长度和角膜曲率的变化,探讨其手术方法,并评价其治疗效果。方法:对36例(41眼)施行手术,随访6月至36个月,检查所有病例手术前后的视力,眼压,眼轴长度和角膜曲率。结果:术后36眼(占87.80％)视力改善,术后眼压比术前升高者21眼(占51.22％),平均眼压升高5.62mmHg,眼轴长度增加者36眼(占87.80),角膜曲率无明显变化。结论:①为获得较好远视力,术中所植入人工晶体度数应比测算度数低1.0D～2.0D;②对全粘连小瞳孔的白内障病例,只要炎症控制,可尽早手术。
Objective: To understand the changes of intraocular pressure, length of ocular axis and corneal curvature before and after cataract surgery in patients with fully cataractous pupil. To explore the surgical methods and evaluate the therapeutic effect. Methods: Thirty-six eyes (41 eyes) underwent surgery and were followed up for 6 months to 36 months. Visual acuity, intraocular pressure, axial length and corneal curvature were measured before and after surgery. Results: The visual acuity was improved in 36 eyes (87.80%) after operation. The intraocular pressure (IOP) increased 21.6% (51.22%), the mean intraocular pressure increased 5.62mmHg, the axial length increased 36 eyes (87.80% ), No significant changes in corneal curvature. Conclusion: ① In order to obtain better far vision, intraoperative implantation of intraocular lens should be lower than the estimated degree of 1.0D ~ 2.0D; ② for the whole adhesion of small pupil cataract cases, as long as the inflammation control, surgery as soon as possible.