摘要
目的研究探讨巩膜小切口白内障摘除术采取不同部位切口的临床治疗效果及技术分析。方法选取白内障摘除术治疗的病患200例,随机将其分为两组,其中一组病患给予颞上方巩膜切口设为对照组,另一组病患给予最大角膜屈光度午线方位做角巩膜缘切口并联合对侧角膜缘穿透性切口设为实验组,比较两组病患临床效果。结果实验组病患术后7d、1个月、3个月角膜散光度明显低于对照组(P<0.05);实验组病患术后1个月、3个月的裸眼视力明显高于对照组(P<0.05)。结论在巩膜小切口白内障摘除术中选择最大角膜屈光度午线方位做角巩膜缘切口并联合对侧角膜缘穿透性切口,有着较好的临床治疗效果,值得推广。
Objective To investigate the clinical therapeutic effect and technical analysis of different parts of the cataract extraction with small incision of sclera. Methods Two hundred patients with cataract were randomly divided into two groups. One group was given supratemporal scleral incision as control group, the other group was given maximum corneal diopter noon line as corneoscleral margin incision combined with contralateral limbal penetrating incision as experimental group, and the clinical effects of the two groups were compared. Results The corneal astigmatism of the experimental group was significantly lower than that of the control group at 7 d, 1 month and 3 months after operation(P<0.05). The visual acuity of the experimental group was significantly higher than that of the control group at 1 months and 3 months after operation(P<0.05). Conclusion Choose the midday maximum corneal diopter as corneoscleral limbal incision and combined with contralateral limbal penetrating incision in small scleral incision cataract extraction. It has a good clinical effect and is worthy of promotion.
作者
仲其善
吴维跃
丁红霞
邱芸芸
ZHONG Qi-shan;WU Wei-yue;DING Hong-xia;QIU Yun-yun(Shuyang County Central Hospital,Suqian,Jiangsu 223600)
出处
《智慧健康》
2018年第34期129-130,共2页
Smart Healthcare
关键词
巩膜小切口
白内障摘除术
角膜散光度
裸眼视力
Small scleral incision
Cataract extraction
Corneal astigmatism
Naked eye vision
