Bajimaya S, Sharma B R, Shrestha J B, Maharjan I M, Matsushima H, Akura J
Tilganga Institute of Ophthalmology, Gaushala, Kathmandu.
Nepal J Ophthalmol. 2012 Jul-Dec;4(2):248-55. doi: 10.3126/nepjoph.v4i2.6540.
A one month phacoemulsification training course had been implemented by the Nepal Netra Jyoti Sangh (NNJS) in collaboration with Association for Ophthalmic Cooperation to Asia, Japan (AOCA).
To evaluate the visual outcomes of phacoemulsification surgery by a nationally trained surgeon in Nepal.
A retrospective study of patients that underwent phacoemulsification with foldable intraocular lens implantation during a period of 18 months was carried out. Cases that had a six-week follow-up period were included. Effective phaco time (EPT), intra-operative and postoperative complications were noted. Uncorrected visual acuity (UCVA) at day 1 and best corrected visual acuity (BCVA) at week 6 were noted. The data were analyzed using SPSS 11.5.
A total of172 patients that had completed a 6 week follow-up evaluation were included in the study. The mean age of patients was 57.12±10.19 years. The mean effective phaco time (EPT) was 9.74±7.41 seconds. Posterior capsule rupture (PCR) with vitreous loss occurred in 2 eyes (1.2%), Descemet's membrane detachment in 1 eye (0.6%), capsulorhexis extension in 1 eye (0.6%) and wound site thermal injury (WSTI) occurred in 3 eyes (1.7%). Postoperative complications were mild to moderate striate keratopathy (9/ 172), corneal edema (1/172), corneal epithelial defect (1/172) and uveitis (1/172). At 6 weeks post-operatively, 165 eyes (95.9%) had a BCVA better than 6/18 and 7 eyes (4.1%) had a BCVA of 6/18 to 6/60.
Patients undergoing phacoemulsification had a good visual outcome as a result of the procedure performed by cataract surgeon trained from AOCA/NNJS national phacoemulsification training program of Nepal.
尼泊尔眼之光协会（NNJS）与日本亚洲眼科合作协会（AOCA）合作开展了为期一个月的白内障超声乳化培训课程。
评估尼泊尔一名经国家培训的外科医生进行白内障超声乳化手术的视觉效果。
对18个月内接受折叠式人工晶状体植入白内障超声乳化手术的患者进行回顾性研究。纳入随访期为六周的病例。记录有效超声乳化时间（EPT）、术中及术后并发症。记录术后第1天的未矫正视力（UCVA）和术后第6周的最佳矫正视力（BCVA）。使用SPSS 11.5对数据进行分析。
共有172例患者完成了为期6周的随访评估并纳入研究。患者的平均年龄为57.12±10.19岁。平均有效超声乳化时间（EPT）为9.74±7.41秒。2只眼（1.2%）发生后囊破裂（PCR）伴玻璃体脱出，1只眼（0.6%）发生Descemet膜脱离，1只眼（0.6%）发生撕囊扩展，3只眼（1.7%）发生伤口部位热损伤（WSTI）。术后并发症为轻度至中度条纹状角膜病变（9/172）、角膜水肿（1/172）、角膜上皮缺损（1/172）和葡萄膜炎（1/172）。术后6周时，165只眼（95.9%）的BCVA优于6/18，7只眼（4.1%）的BCVA为6/18至6/60。
由于尼泊尔AOCA/NNJS国家白内障超声乳化培训项目培训的白内障外科医生所进行的手术，接受白内障超声乳化手术的患者获得了良好的视觉效果。
