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目的探讨海南地区基层复明行动中剥脱综合征硬核性白内障手法小切口非超声乳化手术中并发症处理的效果。方法应用手法小切口非超声乳化手术治疗剥脱综合征硬核性白内障62例(62眼),针对术中出现的小瞳孔、虹膜粘连、硬核、悬韧带薄弱断离、娩核困难、后囊膜破裂等难点及并发症进行处理,观察手术的效果与处理的复杂性。结果术前视力0.1-0.3者17眼(27.42%),视力<0.1者45眼(72.58%);术后裸眼视力≥0.1者56眼(90.32%),其中,视力≥0.3者49眼(79.03%)。术中晶体全脱位行人工晶体缝线固定术3眼,囊膜破裂玻璃体脱出4眼行人工晶体睫状沟植入,人工晶体植入率100%;术后角膜水肿1级12眼(19.35%),2级7眼(11.29%),无3级以上角膜水肿。结论在基层医院应用小切口非超声乳化手术处理剥脱综合征硬核性白内障,并发症少、复明效果好。
Objective To investigate the effect of complication treatment in small incision non-phacoemulsification surgery in hard-core cataract extraction of stripping syndrome in grass-roots rehabilitation operation in Hainan area. Methods Sixty-two cases (62 eyes) of hard nucleus cataract in exfoliation syndrome were treated with small incision non-phacoemulsification technique. In view of the small pupil, iris adhesion, hard nucleus and weak suspensory ligament in operation, Membrane rupture and other complications and complications, to observe the effect of the operation and the complexity of treatment. Results The preoperative visual acuity was 0.1-0.3 in 17 eyes (27.42%), the visual acuity was <0.1 in 45 eyes (72.58%), the uncorrected visual acuity was ≥0.1 in 56 eyes (90.32%), of which 49 eyes (≥79 eyes) %). Intraocular lens dislocation and intraocular lens suture fixation in 3 eyes, capsular rupture vitreous prolapse in 4 eyes ciliary sulci implantation, intraocular lens implantation rate of 100%; postoperative corneal edema grade 12 (19.35% ), Grade 2 and 7 eyes (11.29%), no grade 3 or more corneal edema. Conclusion The application of small incision non-phacoemulsification surgery in primary hospitals in treating cataract with exfoliation syndrome has fewer complications and better fuming effect.