老年白内障超声乳化人工晶体植入术后低视力的原因分析及防治措施

发布时间：2018-01-01 16:44

本文关键词：老年白内障超声乳化人工晶体植入术后低视力的原因分析及防治措施　出处：《现代医院》2016年12期 　论文类型：期刊论文

【摘要】：目的分析老年白内障超声乳化人工晶体植入术后低视力的发生原因,并总结有效的防治措施。方法335例老年白内障患者均采取超声乳化联合人工晶体植入术治疗,比较老年白内障患者术前、术后1 d眼视力变化,比较术后1 d、1周、1个月及3个月等不同时间低视力发生率,分析术后1 d及3个月低视力的发生原因,并总结有效的防治措施。结果老年白内障患者术后1 d眼视力较术前明显好转(P0.05);老年白内障患者术后1 d、1周、1个月及3个月等不同时间低视力发生率依次为18.78%,12.96%,11.64%,10.58%;老年白内障患者术后1 d低视力原因主要为角膜水肿(28.17%)、一过性高眼压(18.31%)、后囊破裂(7.04%)及原有眼病(46.48%);糖尿病性视网膜病变及高度近视为老年白内障患者术后3个月低视力的主要原因(25.00%,15.00%)。结论积极治疗原有眼病和减少手术并发症是防治老年白内障超声乳化人工晶体植入术后低视力的主要方法。
[Abstract]:Objective to analyze the causes of low vision in senile cataract phacoemulsification and intraocular lens implantation, and summarize the effective prevention and control measures. Methods 335 cases of senile cataract were treated with phacoemulsification and intraocular lens implantation in the treatment of senile cataract patients, comparison of preoperative, postoperative 1 D visual acuity changes, postoperative 1 D, 1 week 1 months, 3 months and the incidence rate of different time of low vision, analysis of the causes of postoperative 1 D and 3 months of low vision, and summarize the effective measures of prevention and treatment of senile cataract patients. Results after 1 D eye visual acuity significantly improved (P0.05); senile cataract patients after 1 D, 1 weeks, 1 months and 3 months and different time of low vision rates were 18.78%, 12.96%, 11.64%, 10.58%; the main senile cataract patients after 1 D of low vision due to corneal edema (28.17%), transient high intraocular pressure (18.31%), posterior capsule rupture (7.04%) and the original eye Disease (46.48%); diabetic retinopathy and high myopia for senile cataract patients after 3 months of the main reason of low vision (25%, 15%). Conclusion the active treatment of the original diseases and reduce the complications of low vision is the main method in prevention and treatment of senile cataract phacoemulsification and intraocular lens implantation.

【作者单位】：武汉科技大学附属天佑医院;
【分类号】：R779.66
【正文快照】： 陈利荣姚军平高波周宇张贻转张冬香:武汉科技大学附属天佑医院湖北武汉430064白内障是发生率较高的眼科疾病,常见于老年人,可明显降低眼视力,给老年患者日常生活造成很大影响,病情严重甚至可致盲[1-3]。目前临床多选择超声乳化联合人工晶体植入术治疗白内障,具有创伤程度轻微

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