英国的双眼白内障同期摘除术。
Simultaneous bilateral cataract extraction in the UK.
作者信息
Beatty S, Aggarwal R K, David D B, Guarro M, Jones H, Pearce J L
机构信息
Birmingham and Midland Eye Hospital.
出版信息
Br J Ophthalmol. 1995 Dec;79(12):1111-4. doi: 10.1136/bjo.79.12.1111.
AIMS/BACKGROUND: Simultaneous bilateral extracapsular cataract extraction (SBCE) is not routinely performed in the developed world. This study investigated the safety and efficacy of this procedure as performed in the UK.
METHODS
A review of 319 consecutive patients (638 eyes) who underwent SBCE with posterior chamber intraocular lens implantation is presented.
RESULTS
The incidence of intraoperative complications was 7.7%. These included posterior capsule rupture (0.8%) and vitreous loss (0.3%). Postoperative complications were seen in 8.7% of operated eyes and included iris prolapse (0.3%) and raised intraocular pressure (3.0%). Endophthalmitis occurred in one eye (0.15%). There were no major bilateral complications, and, in particular, no cases of bilateral endophthalmitis. Final visual acuities compared favourably with reports for unilateral surgery. Eighty two per cent achieved a final visual acuity of 6/12 or better, and 41% tested 6/6 or better.
CONCLUSION
This study illustrates that SBCE is not associated with an increased incidence of complications and that the visual results are good. Where indicated, and under strict surgical protocol, this procedure is safe.
目的/背景：在发达国家，同期双侧囊外白内障摘除术（SBCE）并非常规手术。本研究调查了该手术在英国实施的安全性和有效性。
方法
对319例连续接受SBCE并植入后房型人工晶状体的患者（638只眼）进行了回顾性研究。
结果
术中并发症发生率为7.7%。其中包括后囊破裂（0.8%）和玻璃体脱出（0.3%）。术后并发症见于8.7%的手术眼，包括虹膜脱垂（0.3%）和眼压升高（3.0%）。眼内炎发生于1只眼（0.15%）。未出现严重的双侧并发症，尤其是未发生双侧眼内炎病例。最终视力与单侧手术的报道结果相比良好。82%的患者最终视力达到6/12或更好，41%的患者视力测试为6/6或更好。
结论
本研究表明，SBCE不会增加并发症的发生率，且视觉效果良好。在有指征且严格遵循手术方案的情况下，该手术是安全的。
Zotero 插件