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目的 探讨白内障超声乳化吸出术及其并发症的防治。方法 总结白内障超声乳化吸出术 10 9例 ( 13 7眼 ) ,其中老年性白内障 70眼 ,并发性 64眼 ,其它 3眼。结果 出院时最佳矫正视力≥ 0 .3者 113眼 ,82 40 %。其中 0 5以上者 81眼 ,5 9 13 %。术中、术后主要并发症有后囊损伤 2 7眼 ,19 71% ;角膜浑浊 14眼 ,10 2 2 %。结论 采用无需缝合的反眉状隧道式切口行白内障超声乳化吸出 ,植入普通型人工晶状体早期可获较佳视力 ,而提高手术技巧可望降低后囊损伤及角膜水肿浑浊等常见并发症。
Objective To investigate the prevention and treatment of cataract phacoemulsification and its complications. Methods One hundred and nine cases (13 of 7 eyes) with phacoemulsification were reviewed. Among them, 70 were senile cataract, 64 were complicated by congenital cataract, and the others were 3 eyes. Results The best corrected visual acuity ≥0.3 at discharge was 113 eyes and 82 40%. Among them, more than 0 5 eyes 81, 5 9 13%. During operation, the main postoperative complications were 27 cases of posterior capsule injuries, 19 71%; 14 cases of corneal opacity, 1022%. CONCLUSIONS: Cataract tunneling incision without suture can be used for cataract phacoemulsification. Conventional intraocular lens implantation can achieve better visual acuity in the early stage. Improving surgical skills may reduce common complications such as posterior capsular injury and corneal edema.