Sharma T K, Worstmann T
Department of Ophthalmology, Queens Hospital, Burton on Trent, Staffordshire, United Kingdom.
J Cataract Refract Surg. 2001 May;27(5):741-4. doi: 10.1016/s0886-3350(00)00741-0.
To assess the visual outcome and safety of simultaneous bilateral cataract extraction.
Department of Ophthalmology, Queen's Hospital, Burton on Trent, Staffordshire, United Kingdom.
Simultaneous bilateral cataract extraction was performed in 288 eyes of 144 patients over 10 years in a single department in selected cases. Case notes were retrospectively analyzed for final best corrected visual acuity (BCVA) and intraoperative and postoperative complication rates.
The final BCVA was 6/9 or better in 87.0% of eyes. The incidence of intraoperative complications was 2.42%. These included posterior capsule rupture without vitreous loss (0.69%) and with vitreous loss (1.04%). Postoperative complications occurred in 10.05% of eyes and included raised intraocular pressure (IOP) (3.82%), iris prolapse (0.69%), uveitis (0.69%), and suture abscess (0.35%). There were no major bilateral complications such as endophthalmitis or corneal decompensation.
The outcome of simultaneous bilateral cataract extraction was comparable to that of single-eye cataract surgery, indicating that the procedure is safe under strict surgical protocol and beneficial in selected cases.
评估双眼同时白内障摘除术的视觉效果和安全性。
英国斯塔福德郡特伦特河畔伯顿女王医院眼科。
在10年期间，于某一科室对144例患者的288只眼进行了双眼同时白内障摘除术，所选病例均符合条件。对病历进行回顾性分析，以获取最终最佳矫正视力（BCVA）以及术中及术后并发症发生率。
87.0%的患眼最终BCVA达到6/9或更好。术中并发症发生率为2.42%。其中包括后囊破裂但无玻璃体脱出（0.69%）以及伴有玻璃体脱出（1.04%）。术后并发症发生率为10.05%，包括眼压升高（IOP）（3.82%）、虹膜脱垂（0.69%）、葡萄膜炎（0.69%）和缝线脓肿（0.35%）。未出现诸如眼内炎或角膜失代偿等严重的双侧并发症。
双眼同时白内障摘除术的效果与单眼白内障手术相当，这表明在严格的手术方案下该手术是安全的，且在特定病例中有益。
