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1986～1996年间我院共完成白内障摘除并人工晶状体植入86例,获得较满意的效果。86例86只眼,其中男46例,女40例;年龄最小的10岁,最大的72岁;青年白内障4例,外伤性白内障8例,老年性白内障74例;均为一期植入;随访时间3个月到8年。术前准备:除全身及常规化验检查外,术前3天,内服消炎痛,结膜囊点抗生素眼药水,术前1小时内服Dimox,静推甘露醇,并用复方托品酰胺扩瞳。手术方式,同一般囊外手术。晶状体植入时是用空气、BSS液或粘稠剂保持前房的前提下进行的。伤口用10/0尼龙线8字埋藏缝合。术后结膜下注射庆大霉素、地塞米松。包扎术眼,次日换药。结果术后复查视力在4.7以上者54只眼(62.7%)。视力4.6～4.0者32只眼(37.2%)。术后并发症:(1)多数病人出现角膜线状混浊,一般2～7天消失。(2)人工晶状体前色素沉着双膜形成,用激素加扩瞳剂可大部分消失。(3)3例后囊混浊。(4)15例瞳孔不同程度变形。术前控制好眼压是手术成功的关键,我们体会到;除术前口服Dimox和静推甘露醇外,做好球后及
1986 to 1996, our hospital completed a total of cataract extraction and intraocular lens implantation in 86 cases, to obtain more satisfactory results. 86 cases 86 eyes, 46 males and 40 females; the youngest 10 years old, the largest 72 years old; 4 cases of young cataract, traumatic cataract in 8 cases, senile cataract in 74 cases; Follow-up time of 3 months to 8 years. Preoperative preparation: In addition to general and routine laboratory tests, 3 days before surgery, oral administration of indomethacin, conjunctival antibiotic eye drops, oral administration of Dimox within 1 hour before surgery, intravenous injection of mannitol, and with compound tropicamide dilation. Surgical procedures, with the same general surgery outside the capsule. The lens is implanted with air, BSS solution or viscous agent to maintain the anterior chamber under the premise. Wound with 10/0 nylon line 8 words buried suture. Postoperative conjunctival injection of gentamicin, dexamethasone. Bandaged eyes, dressing change the next day. Results Postoperative visual acuity was 4.7 or more in 54 eyes (62.7%). Visual acuity 4.6 ~ 4.0 in 32 eyes (37.2%). Postoperative complications: (1) The majority of patients corneal opacity, usually 2 to 7 days disappear. (2) intraocular lens hyperpigmentation double membrane formation, with hormones plus dilation agent can most disappear. (3) 3 cases of posterior capsule opacity. (4) 15 cases of pupil varying degrees of deformation. Preoperative control of intraocular pressure is the key to successful operation, we understand that; in addition to preoperative oral Dimox and intravenous injection of mannitol, after the ball and