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目的:分析手法无缝线小切口白内障摘除术(MSICS)中并发症的发生原因,探讨其处理方法。方法:对142眼施行MSICS,回顾其术中出现的并发症并加以分析。结果:术中后囊膜破裂15眼(10.6%);上方虹膜反复脱出9眼(6.3%);角膜水肿2眼(1.4%);虹膜根部离断11眼(7.7%),其中下方虹膜根部离断7眼,上方虹膜根部离断4眼;前房积血1眼(0.7%);上方切口渗漏11眼(7.7%)。本组病例术中无晶状体核坠入玻璃体腔和暴发性脉络膜上腔大血发生。结论:掌握手术适应证,规范、熟练的手术操作方法和技巧可降低术中并发症发生率,及时的处理术中并发症可以获得满意的手术效果。
OBJECTIVE: To analyze the causes of complications in small incision cataract extraction (MSICS) and to discuss the treatment methods. Methods: The 142 patients underwent MSICS, reviewed the complications occurred during operation and analyzed them. Results: The posterior capsule ruptured in 15 eyes (10.6%), the upper iris in 9 eyes (6.3%), the corneal edema in 2 eyes (1.4%) and the iris roots in 11 eyes (7.7%). The lower iris root Seven eyes were severed, the upper iris root was severed 4 eyes; the anterior chamber hemorrhage was 1 eye (0.7%); the upper incision leaked 11 eyes (7.7%). In this group of patients intraoperative aphakia nuclear fall into the vitreous cavity and fulminant choroidal hemorrhage occurs. Conclusion: To master the surgical indications, standardized and skilled surgical methods and techniques can reduce the incidence of intraoperative complications, and timely treatment of intraoperative complications can obtain satisfactory surgical results.