摘要
目的观察传统藏医白内障穿刺术与现代白内障囊外摘除术+IOL植入术方法结合后,其视力、并发症及术后散光等情况的疗效研究。方法对2350例2400眼白内障患者行传统藏医眼部穿刺术,作颞侧角巩膜缘隧道三粒中等量小麦直径(约3~4.5mm)长度的穿刺切口,行白内障囊外摘除+IOL植入术,巩膜隧道自行闭合,无需缝线。结果2350例2400只眼术后7天内有近52.29%的患者最佳矫正视力好于或等于0.5,全部病例切口愈合,术后并发症主要为一过性角膜水肿、前房闪辉、暂时性的高眼压等。结论传统藏医白内障穿刺囊外摘除+IOL植入术手术安全、视力恢复快、散光小、器械成本低、容易掌握、手术不受眉弓影响,尤其对睑裂较小眼窝较深的患者提供方便,并为病人后期青光眼等手术留下良好的局部手术条件。可见,此方法是值得在基层医院、偏远高海拔地区防盲治盲工作中可广泛推广的有效方法。
Purpose The research is to observe the efficacy of traditional Tibetan medicine cataract puncture with modern cataract extracapsular extraction and+IOL implantation in terms of visual acuity,complications and postoper-ative astigmatism.Method A total of 2350 patients with 2400 cataracts underwent oculocentesis with traditional Ti-betan medicine,and a puncture incision of three medium-sized wheat diameters(about 3~4.5mm)in length of the temporal angle sclerabal tunnel was performed,and cataract extracapsular extraction+IOL implantation was per-formed.The scleral tunnel closed itself without sutures.Result Nearly 52.29%of the 2,350 patients with 2,400 eyes had a best-corrected visual acuity better than or equal to 0.5 within 7 days after surgery,and the incisions healed in all cases.The main postoperative complications were transient corneal edema,anterior chamber flash and temporary high intraocular pressure.Conclusion Traditional Tibetan medicine cataract puncture extracapsular extraction+IOL implantation surgery is safe,fast vision recovery,small astigmatism,low instrument cost,and easy to master.The op-eration is not affected by the eyebrow arch,especially for patients with small palpebral fissures and deep eye sockets,and leaves good local surgical conditions for patients with glaucoma and other surgeries in the later stage.Apparently,it is an effective method that can be widely promoted in the prevention and treatment of blindness in grassroots hos-pitals and remote high-altitude areas.
作者
泽仁达瓦
仁青江村
多吉次仁
索朗扎西
Zeren Dawa;Renqing Jiangcun;Dorje Tsering;Sonam Tashi(Zang Er Kang Eye Treatment Center of Lhorong County in Xizang,Chamdo 854000,China;People's ophthalmic hospital of Riwoche County in Chamdo City,Chamdo 854000,China;Eye Treatment Center of Tibetan Medicine Hospital of Nagqu in Xizang,Nagqu 852000,China;People's ophthalmichospital of Lhari County of Nagqu in Xizang,Nagqu 852000,China)
出处
《西藏科技》
2024年第4期60-64,共5页
Xizang Science And Technology
关键词
传统藏医
白内障穿刺
囊外摘除术
人工晶体植入术
Traditional Tibetan medicine
Cataract puncture
Extracapsular extraction
Intraocular lens implantation
