方法：选择2010-12/2011-05在云南省红河州复明工程中行中切口白内障囊外摘除术年龄≥80岁的67例79眼高龄患者，随访并分析术后1mo内裸眼视力、眼压、手术并发症及术眼恢复过程等情况。

结果：术后1d； 1wk； 1mo，分别有42，63，69眼视力≥0.3，占全部术眼的53.2%，79.7%和87.3%； 中切口白内障囊外摘除术前后眼压无明显改变； 4眼术中发生后囊破裂，1眼虹膜根部离断； 术后1mo术眼角膜水肿及房水闪辉基本消失。

结论：在复明工程中为高龄白内障患者行中切口白内障囊外摘除术安全有效，能获得满意的手术效果，可在短期内掌握并熟练。

METHODS: Totally 79 eyes from 67 cases(age≥80 years old)of age-related cataract during Vision Action were involved in this study, for whom middle incision cataract extraction combined with intraocular lens implantation was performed. Visual acuity, intraocular pressure, complications and clinical signs were followed up for 1 month and analyzed.

RESULTS: Postoperatively, 42 eyes(53.2%), 63 eyes(79.7%), and 69 eyes(87.3%)got visual acuity better than 0.3 on 1 day, 1 week, and 1 month post operation respectively. And no significant change was found for intraocular pressure between pre- and post operation. Posterior capsule rupture occurred in 4 eyes during surgeries, and iridodialysis in 1 eye. And corneal edema and anterior chamber flare almost disappeared in about 1 week post operation.

CONCLUSION: Middle incision cataract extraction is safe and effective for aged cataract patients during Vision Action, and could be master in short term.