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白内障超声乳化摘除及无缝线小切口折叠式人工晶体植入术

Phacoemulsirication and foldable intraocular lens implantation through a small sutureless incision

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【作者】 姚克姜节凯杨亚波翁燕裘文亚

【Author】 Yao Ke, Jiang Jiekai, Yang Yapo, et al. Department of Ophthalmology, Affiliated Second Hospital,Zhejiang medical University, Hangzhou 310009

【机构】 浙江医科大学附属第二医院眼科

【摘要】 目的评价超声乳化白内障摘除及无缝线小切口折叠式人工晶体植入手术的疗效。方法对65例(72只眼)老年性、并发性、先天性和外伤性白内障行超声乳化摘除,通过3.2mm切口植入硅胶折叠式人工晶体。结果术后1天裸眼或矫正视力≥0.5者占94.4%;术后1周,1个月和3个月视力≥1.0者分别占70.8%,75.8%和76.5%。术后1周和1个月平均散光分别为0.89±0.83D和0.73±0.76D,分别小于6.5mm切口对照组(P<0.001),但3个月时无统计学差异(P>0.05)。结论提示无缝线小切口折叠式人工晶体植入术具有早期恢复和稳定眼屈光状态和视力的优点。

【Abstract】 Objective To evaluate the therapeutic effects of phacoemulsification and the foldable intraocular lens implantation.Methods The surgery was performed through a 3 2 mm incision on 72 eyes of 65 patients with senile, complicated, congenital and traumatic cataracts.Results Post operatively, the visual acuities with spherical correction or without correction were 0 5 or better in 94 4% at one day, and 1 0 or better in 70 8%,75 8% and 76 5% at one week, one month and three months respectively. The mean post operative astgmatism was 0 89±0 83 D at one week and 0 73±0 76 D at one month which was respectively less than that in the control group with a 6 5 mm incision ( P <0 001),but no statistical difference between them at three months ( P >0 05).Conclusion The foldable intraocular lens implantation through a small sutureless incision could reduce early post operative astigmatism and shorten the period of visual rehabilitation.

【关键词】 白内障摘除术晶体.人工
【Key words】 Cataract extraction Lensesintraocular
【基金】 浙江省教育委员会科研基金
  • 【文献出处】 中华眼科杂志 ,CHINESE JOURNAL OF OPHTHALMOLOGY , 编辑部邮箱 ,1997年02期
  • 【分类号】R779.66
  • 【被引频次】72
  • 【下载频次】86
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