Abstract:AIM: To research the curative effect analysis of two kinds of small incision surgery treating senile cataract patients.
METHODS: Totally 71 senile cataract patients(123 eyes), aged from 76 years to 96 years, were selected as the research objects. All 55 eyes were all treated with small incision non-phacoemulsification(group A), and 68 eyes were treated with phacoemulsification(group B), and then both received intraocular lens implantation.
RESULTS: The postoperative visual acuity of the patients between the two groups was no significant difference(P>0.05). There were 42 eyes in group A and 54 eyes in group B which suffered from corneal edema. There was no significant difference in the number of corneal edema of grade Ⅰ, grade Ⅱ and grade Ⅲ between the two groups(Chi-square =0.81, P>0.81). The ratio of corneal edema of grade Ⅲ in group A was less than that in group B. The corneal edema after surgery in patients of group A was with faster fading time than that in group B, and the eyes of corneal edema in group A fading at 1d postoperatively were more than that in group B(Chi-square=6.45, P<0.05). Endothelial cell counts in group A and group B were(2 341+238)/mm2 and(2 181+282)/mm2, respectively, and there was no significant difference between the two groups(P>0.05). Group A was with a low complication rate.
CONCLUSION: Small incision non-phacoemulsification treating senile cataract patients can get a good result for postoperative visual acuity recovery and correction, and it is safe and effective. It receives the similar curative effect with phacoemulsification, but takes less expense. It is worthy of clinical and wide application.
