目的:评价白内障小切口水平手法劈核与超声乳化摘除手术的手术方法和疗效。方法:回顾2007-11/2009-08间210例249眼行小切口水平手法劈核白内障手术,199例227眼行超声乳化白内障手术,均联合人工晶状体植入术,比较两组术后视力、散光、术中术后并发症差异。结果:术后1mo小切口非超乳和超乳的视力≥0.5分别为205眼(82.3%)和191眼(84.1%),术后3mo散光分别是(0.95±0.51)D和(0.89±0.78)D,两组差异均无统计学意义。角膜反应术后1mo全部消退。无术后感染或角膜失代偿等严重并发症。结论:小切口非超声乳化白内障摘除人工晶状体植入术与白内障超声乳化摘除人工晶状体植入术两种手术方式疗效相近,同样具有安全、视力恢复快、术后散光小的优点。

AIM:To evaluate the clinical therapeutic effect of small incision horizontal manual fragmentation and phacoemulsification.·METHODS: A total of 249 eyes 210 cases underwent small incision horizontal manual fragmentation and intraocular lens implantation. 227 eyes 199 cases were performed phacoemulsification and intraocular lens implantation. Visual acuity, astigmatism and complica-tion were observed and analysed.·RESULTS: One month after operation, the visual acuity ≥0.5 was in 205 eyes(82.3%) in small incision group and 191 eyes(84.1%) in phacoemulsification group. The diffe-rence between the groups was not significant. 3 months after operation, the astigmatism degree was 0.95±0.51D in small incision group and 0.89±0 .78D in phacoemulsifi-cation group and the difference was not significant. The corneal edema disappeared 1 month after operation. There were no serious complications.·CONCLUSION: The clinical therapeutic effect of small incision horizontal manual fragmentation and phacoemul-sification is similar. The small incision horizontal manual fragmentation has been proved to be safe and effective.

R779.66