剥脱综合征白内障小切口手术中并发症处理的探讨

发布时间：2018-11-27 11:14

【摘要】：目的探讨海南地区基层复明行动中剥脱综合征硬核性白内障手法小切口非超声乳化手术中并发症处理的效果。方法应用手法小切口非超声乳化手术治疗剥脱综合征硬核性白内障62例(62眼),针对术中出现的小瞳孔、虹膜粘连、硬核、悬韧带薄弱断离、娩核困难、后囊膜破裂等难点及并发症进行处理,观察手术的效果与处理的复杂性。结果术前视力0.1-0.3者17眼(27.42%),视力0.1者45眼(72.58%);术后裸眼视力≥0.1者56眼(90.32%),其中,视力≥0.3者49眼(79.03%)。术中晶体全脱位行人工晶体缝线固定术3眼,囊膜破裂玻璃体脱出4眼行人工晶体睫状沟植入,人工晶体植入率100%;术后角膜水肿1级12眼(19.35%),2级7眼(11.29%),无3级以上角膜水肿。结论在基层医院应用小切口非超声乳化手术处理剥脱综合征硬核性白内障,并发症少、复明效果好。
[Abstract]:Objective to investigate the effect of non-phacoemulsification in the small incision of hard-nuclear cataract extraction in primary rehabilitation in Hainan area. Methods 62 cases (62 eyes) of hard nucleus cataract with exfoliation syndrome were treated with manual small incision non-phacoemulsification. The difficulty and complication of posterior capsule rupture were treated, the effect of operation and the complexity of management were observed. Results preoperative visual acuity was 0.1-0.3 in 17 eyes (27.42%), visual acuity 0.1 in 45 eyes (72.58%), uncorrected visual acuity 鈮，

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