【摘要】 目的探讨高龄白内障患者行白内障摘除术的安全性及不同术式的临床效果和并发症特点。方法对49例(58眼)85~100岁老人行白内障摘除及人工晶状体植入术。小切口组38例(44眼),超声乳化组11例(14眼)。对术后视力及并发症进行比较分析。结果术后早期脱盲率及脱残率,小切口组分别为95%及89%;超声乳化组分别为100%及78%,2组对比均无显著性差异(P>0.05)。角膜水肿发生率,超声乳化组(64%)明显高于小切口组(23%),2组比较有显著性差异(P<0.05)。结论对于高龄患者,小切口非超声乳化白内障摘除及人工晶状体植入术的效果比白内障超声乳化术更具优势。术中心电监护及表面麻醉下白内障手术可降低高龄患者的手术风险。更多还原

【Abstract】 Aim To explore the safety of cataract extraction in aged patients and to observe the clinical effect and characteristics of complications with differ ent operation ways. Methods A total of 49 cases (58 eyes ) of 85-100 years old received cataract extraction and IOL implantation. The postoperative vision and the complications were analysed and compared between the group of small incisio n ( 44 eyes, 38 cases ) and the group of phacoemulsification ( 14 eyes, 11 case s ). Results After operation, the restoring light rate ( vision ≥0.05) and t he rehabilitation rate( vision≥0.3 ) of the patients were 95% and 88% respecti vely for the group of small incision, 100% and 78% respectively for the group of phacoemulsification. There was no significant difference in the restoring light rate nor the rehabilitation rate between the two groups (P >0.05),but corneal e dema of cataract phacoemulsification (64%) was more than that of cataract extra ction using small incision (23%)(P <0.05). Conclusion The effect of non-phacoem ulsification cataract extraction with small incision is better than that of pha coemulsification for aged patients. The danger of aged patients could be reduced by electrocardiographic monitor and topical anesthesia during the operation.更多还原