手术放大镜下人工晶体植入术在基层医院的应用(附206例报告)

• 作 者: 李莉 莫梓坚 黄雄兰 莫振华
• 机 构: 广西区人民医院,广西灵山县人民医院五官科,广西平南县人民医院五官科
• 出 处: 广西医学
• 发表日期: 1999年03期
• 关键词: 手术放大镜 晶体植入 人工晶体 后囊混浊 白内障手术 角膜水肿 睫状沟缝线固定 角膜内皮 球周麻醉 并发性白内障

目的：探索适合于基层地区开展白内障人工晶体植入的手术方法。方法：采用价格便宜、体积小、便于携带且无需复杂支持系统的２～４倍手术放大镜及单头冷光源手术灯辅助照明下植入人工晶体。结果：本组２０６例（２０６眼），随访１８５眼，视力≥０．４的１５６眼，占８４．３％，并发症主要有：①角膜水肿；②虹膜炎；③瞳孔上移；④后囊混浊；⑤人工晶体偏位及脱位。结论：２～４倍手术放大镜和冷光源单头手术灯辅助照明下行人工晶体植入手术对边远不发达地区有积极的意义。

Objective: To explore suitable surgical methods for the implantation of cataract artificial lens in primary area. Methods: The intraocular lens was implanted under the aid of a 2 ~ 4 times magnifying ophthalmoscope and a single head cold light surgical lamp which were cheap, small size, easy to carry and without complicated support system. Results: 206 eyes (206 eyes) were followed up in 185 eyes and 156 eyes (84.3%) had visual acuity ≥ 0.4. The main complications were: ① corneal edema, ② iritis, ③ pupil upwards, ④ posterior Capsule opacity; ⑤ artificial lens deviation and dislocation. Conclusion: 2 ~ 4 times surgical magnifying glass and cold light source single-head surgical lamp auxiliary illumination descending intraocular lens implantation has a positive meaning in the remote and underdeveloped areas.