[小切口无缝线白内障手术转换为超声乳化白内障手术的临床结果]

[Clincal outcome in conversion from small incision sutureless to phacoemulsification cataract surgery].

作者信息

Lu Yurong, Shi Xun, Yu Fangliang, Guo Haike

机构信息

Department of Ophthalmology, the Third Affiliated Hospital of Nanchang University, Nanchang 330008, China.

出版信息

Yan Ke Xue Bao. 2010 Aug;25(1):31-3. doi: 10.3969/g.issn.1000-4432.2010.01.008.

DOI:10.3969/g.issn.1000-4432.2010.01.008

PMID:21166037

Abstract

PURPOSE

To investigate the clinical outcome during the conversion from small incision sutureless cataract surgery (SICS) to phacoemulsfication cataract surgery (Phaco).

METHODS

During the conversion period from SICS to phaco, 241 cataract cases were assigned to SICS and phaco surgery procedures. The intraoperative complications and early postoperative outcome were assessed.

RESULTS

The 1st day visual acuity outcome (VA 0.5 or better) was lower in phaco grouop (p<0.05), however, the visual acuity outcomes were no longer statistically different at 1 week and 1 month visits (p>0.05 for each visit). Among 193 cases operations in phaco group, 51 cases (26.4%) developed corneal edema at 1 day visit, 13 cases(6.7%) had posterior capsular rapture, 5 cases(2.6%) had zonular rupture, 5 cases (2.6%) failed to implant IOL. These rates were higher than what were found in SICS group.

CONCLUSIONS

The outcome of phaco cataract surgery is comparable with SICS during this conversion period. Techniques that the surgeons may pay attention to are also discussed.

摘要

目的

探讨从小切口无缝线白内障手术（SICS）转换为超声乳化白内障手术（Phaco）期间的临床结果。

方法

在从SICS转换为Phaco的期间，将241例白内障病例分配至SICS和Phaco手术程序。评估术中并发症和术后早期结果。

结果

Phaco组第1天的视力结果（视力0.5或更好）较低（p<0.05），然而，在1周和1个月随访时视力结果不再有统计学差异（每次随访p>0.05）。在Phaco组的193例手术中，51例（26.4%）在1天随访时出现角膜水肿，13例（6.7%）发生后囊破裂，5例（2.6%）发生悬韧带断裂，5例（2.6%）未能植入人工晶状体。这些发生率高于SICS组。