两种手术治疗老年白内障的疗效与并发症比较

发布时间：2018-07-20 08:56

【摘要】：目的对小切口非超声乳化白内障摘除继人工晶体植入与超声乳化白内障摘除继人工晶体植入两种手术治疗老年性白内障的疗效及其并发症进行比较。方法选择眼科治疗的老年性白内障患者211例,年龄65～80岁。行小切口非超声乳化手术治疗患者102例,平均年龄(73.26±4.31)岁;行超声乳化手术治疗患者109例,平均年龄(72.58±3.21)岁;对两种手术的疗效及并发症进行回顾性分析。结果术中、术后均无严重并发症发生;术后1个月,行两种手术的老年性白内障患者其视力水平、散光程度、角膜中央厚度以及角膜内皮水肿程度相比均无明显差异(P0.05)。通过术后1个月的随访,术后裸眼视力水平均有不同程度的提高,散光程度、角膜中央厚度及角膜内皮水肿程度与术前相比,无明显差异(P0.05)。结论老年性白内障患者采用小切口非超声乳化白内障摘除继人工晶体植入与超声乳化白内障摘除继人工晶体植入两种手术均是安全、有效的治疗措施。两种手术具有创伤小、疗程短及并发症少的优点。
[Abstract]:Objective to compare the efficacy and complications of small incision non-phacoemulsification cataract extraction followed by intraocular lens implantation and phacoemulsification cataract extraction followed by intraocular lens implantation in the treatment of senile cataract. Methods 211 senile cataract patients, aged 65 to 80 years, were selected. 102 patients (mean age (73.26 卤4.31) years) were treated with small incision non-phacoemulsification, 109 patients (mean age (72.58 卤3.21) years) were treated with phacoemulsification. Results there were no serious complications during the operation and there was no significant difference in visual acuity, astigmatism, corneal central thickness and corneal endothelium edema between the two kinds of cataract patients 1 month after operation (P0.05). After 1 month follow-up, the level of uncorrected visual acuity was improved to some extent, astigmatism degree, corneal central thickness and corneal endothelium edema degree were not significantly different from those before operation (P0.05). Conclusion small incision non-phacoemulsification cataract extraction and intraocular lens implantation are safe and effective methods for senile cataract patients. The two operations have the advantages of less trauma, shorter course of treatment and fewer complications.
【作者单位】：长江大学附属第一医院眼科;长江大学临床医学院;
【分类号】：R779.66

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