目的:探讨小切口手法劈核白内障囊外摘除联合人工晶状体植入术的疗效、手术技巧、相关并发症及处理方法。方法:回顾分析173例199眼采用小切口手法劈核白内障囊外摘除联合人工晶状体植入术,随访观察1a。结果:裸眼视力≥0.5的眼数术后1d;1wk;1mo;1a分别为70眼(35.2%)、93眼(46.7%)、134眼(67.3%)、158眼(79.4%),矫正视力≥0.6的眼数术后1d;1wk;1mo;1a分别为78眼(39.2%)、101眼(50.8%)、145眼(72.9%)、164眼(82.4%)。结论:小切口手法劈核白内障囊外摘除联合人工晶状体植入术作为防盲手术,具有疗效确切、安全、经济的特点,并发症少,值得临床应用与推广。

AIM:To explore the efficacy,skill,complication and its treatment in small incision cataract surgery combined with intraocular lens(IOL)implantation.METHODS:A total of 173 cases 199 eyes treated by small incision cataract surgery combined with IOL implantation were retrospectively analyzed within 1 year.RESULTS:The uncorrected visual acuity was 0.5 or better in 70 eyes(35.2%),93 eyes(46.7%),134 eyes(67.3%),158 eyes(79.4%)at 1 day,1 week,1 month and 1 year postoperatively,while the corrected visual acuity was 0.6 or better in 78 eyes(39.2%),101 eyes(50.8%),145 eyes(72.9%),164 eyes(82.4%).CONCLUSION:Manipulation of chopping nucleus in small incision cataract surgery with few complications for visual rehabilitation is effective,safe and economic.It is worth to be popularized.

R779.66