摘要
目的 :探讨边远地区基层医院开展大规模突击性白内障复明手术并发症的防治方法。方法 :回顾性地分析 3 85例 3 94眼白内障手术及其并发症发生的原因。结果 :3 94眼白内障手术中 ,人工晶体植入率为 86 % ,术后发生角膜水肿 8眼 ,前房出血 2眼 ,继发性青光眼 1眼 ,人工晶体偏中心 3眼。所有患者术后出院时视力 (含针孔矫正视力 )较术前明显提高 (P <0 .0 1 ) ,脱盲率达 98% ,脱残率达 86 % ,手术成功率为 1 0 0 %。结论 :术前仔细检查 ,术中细致操作和术后认真观察、及时处理是减少和避免术后发生严重并发症的关键。
Objective To investigate the method of prevention and treatment of the complications of cataract surgery carried out on a largescale concentrated effort in rural hospitals. Method The cataract extraction combined with intraocular lens (IOL) implantation in 394 eyes of 385 cases were analyzed in review. Results In 394 eyes, IOL implanting rate was 86%, cornea edema was observed in 8 eyes, hemorrhage anterior chamber in 2 eyes, secondary glaucoma in 1 eye, and IOL ccentricity in 3 eyes. The corrected visual acuity of these patients after being discharged from hospitals was distinctly improved comparing with pre-operation (P<0.01), the rate of visual acuity relieved from blindness was 98%, and the rate of visual acuity relieved from visual handicap was 86%. Conclusion The attentive examination before operation, careful manipulation at the time of operating and conscientious observation of treatment after operation are the keys of preventing and decreasing post-operation complications.
出处
《湖南医科大学学报》
CSCD
北大核心
2001年第6期556-558,共3页
Bulletin of Hunan Medical University
关键词
白内障摘除术
并发症
防治
cataract excision
complication
preventon and treatment
