白内障超声乳化吸除并人工晶体植入术的并发症分析.doc
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白内障超声乳化吸除并人工晶体植入术的并发症分析,白内障超声乳化吸除联合人工晶体植入术的并发症分析【摘 要】 目的：探讨白内障超声乳化吸除术并人工晶体植术的并发症的发生情况及预防措施。方法：回顾2007～2009年我院进行的89例（96只眼）超声乳化白内障吸除并人工晶体植入术的并发症情况，记录手术中和手术后并发症情况，平均随访时间（6±12）个月。结果：在89例患者中...
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白内障超声乳化吸除联合人工晶体植入术的并发症分析
【摘 要】 目的：探讨白内障超声乳化吸除术并人工晶体植术的并发症的发生情况及预防措施。方法：回顾2007～2009年我院进行的89例（96只眼）超声乳化白内障吸除并人工晶体植入术的并发症情况，记录手术中和手术后并发症情况，平均随访时间（6±12）个月。结果：在89例患者中，96只眼中裸眼或矫正视力≥0.5有85只眼，<0.5者11只眼，最高裸眼或矫正视力视力1.0，最低0.1；0.3＜裸眼视力或矫正视力＜0.5有6只眼；0.1＜裸眼视力或矫正视力≤0.3有4只眼；裸眼视力或矫正视力0.1的1只眼。术中并发症：发生后囊破裂4只眼，玻璃体脱出3只眼，人工晶体植入囊袋内3只眼，植入睫状沟内1只眼。术后1个月裸眼或矫正视力≥0.5者2只眼，＜0.5者2只眼。术后并发症：轻、中度角膜水肿21只眼，均在7日内消退；重度角膜水肿5只眼和IOL前膜形成3只眼，术后1个月矫正视力＜0.5。结论：超声乳化白内障吸除术联合人工晶体植入术可引发一系列手术并发症，只有针对患者白内障类型和晶状体核硬度等情况正确处理，患者术后仍可获得较好的视力恢复。
【关键词】白内障；超声乳化；人工晶体；并发症
Analysis of complicatons of phacoemulsification and IOL implantation Zhu Ben-hu, Yang Wen-zhon. People's Hospital of Deqing County , Zhejiang Province 313200 ,China
[Abstract] Object To explore the causes and the preventive measures of the complication of phacoemulsification and intraocular lens implantation. Methods Retrospective analysis was carried out on the main complication of 89 cases(96 eyes) of phacoemulsification and intraocular lens implantation from 2007 to 2009. The intraoperative and postoperative complication were recorded.The average follow-up period was (6 ± 12) months. Results In 96 eyes of 89 cases,uncorrected or corrected visual acuity:85 eyes≥0.5,11 eyes<0.5,the best visual acuity was 1.0,the worst was 0.1, 0.3＜6 eyes＜0.5, 0.1＜4 eyes≤0.3, 1 eye=0.1. The intraoperative complications included:posterior capsule rupture(4 eyes), vitreous prolapse(3 eyes), intraocular lens implantation in the capsular bag(3 eyes), implantation in the ciliary sulcus(1 eye).The uncorrected or corrected Visual acuity after one month:2 eyes≥ 0.5,2 eyes<0.5.The postoperative complications included :mild to moderate corneal edema(21 eyes), was dissipated within 7 days; severe corneal edema (5 eyes ),and IOL membrane formation (3 eyes), visual acuity <0.5 after one month. Conclusion There may be a series of complications happened in phacoemulsification combined with intraocular lens implantation . Only to aim directly at cataract type and lens nuclear hardness of patients, etc,the proper management is performed, patients can achieve better visual outcome.
[Keywords] cataract; phacoemulsification; intraocular lens; complications
【摘 要】 目的：探讨白内障超声乳化吸除术并人工晶体植术的并发症的发生情况及预防措施。方法：回顾2007～2009年我院进行的89例（96只眼）超声乳化白内障吸除并人工晶体植入术的并发症情况，记录手术中和手术后并发症情况，平均随访时间（6±12）个月。结果：在89例患者中，96只眼中裸眼或矫正视力≥0.5有85只眼，<0.5者11只眼，最高裸眼或矫正视力视力1.0，最低0.1；0.3＜裸眼视力或矫正视力＜0.5有6只眼；0.1＜裸眼视力或矫正视力≤0.3有4只眼；裸眼视力或矫正视力0.1的1只眼。术中并发症：发生后囊破裂4只眼，玻璃体脱出3只眼，人工晶体植入囊袋内3只眼，植入睫状沟内1只眼。术后1个月裸眼或矫正视力≥0.5者2只眼，＜0.5者2只眼。术后并发症：轻、中度角膜水肿21只眼，均在7日内消退；重度角膜水肿5只眼和IOL前膜形成3只眼，术后1个月矫正视力＜0.5。结论：超声乳化白内障吸除术联合人工晶体植入术可引发一系列手术并发症，只有针对患者白内障类型和晶状体核硬度等情况正确处理，患者术后仍可获得较好的视力恢复。
【关键词】白内障；超声乳化；人工晶体；并发症
Analysis of complicatons of phacoemulsification and IOL implantation Zhu Ben-hu, Yang Wen-zhon. People's Hospital of Deqing County , Zhejiang Province 313200 ,China
[Abstract] Object To explore the causes and the preventive measures of the complication of phacoemulsification and intraocular lens implantation. Methods Retrospective analysis was carried out on the main complication of 89 cases(96 eyes) of phacoemulsification and intraocular lens implantation from 2007 to 2009. The intraoperative and postoperative complication were recorded.The average follow-up period was (6 ± 12) months. Results In 96 eyes of 89 cases,uncorrected or corrected visual acuity:85 eyes≥0.5,11 eyes<0.5,the best visual acuity was 1.0,the worst was 0.1, 0.3＜6 eyes＜0.5, 0.1＜4 eyes≤0.3, 1 eye=0.1. The intraoperative complications included:posterior capsule rupture(4 eyes), vitreous prolapse(3 eyes), intraocular lens implantation in the capsular bag(3 eyes), implantation in the ciliary sulcus(1 eye).The uncorrected or corrected Visual acuity after one month:2 eyes≥ 0.5,2 eyes<0.5.The postoperative complications included :mild to moderate corneal edema(21 eyes), was dissipated within 7 days; severe corneal edema (5 eyes ),and IOL membrane formation (3 eyes), visual acuity <0.5 after one month. Conclusion There may be a series of complications happened in phacoemulsification combined with intraocular lens implantation . Only to aim directly at cataract type and lens nuclear hardness of patients, etc,the proper management is performed, patients can achieve better visual outcome.
[Keywords] cataract; phacoemulsification; intraocular lens; complications
