目的:探讨表面麻醉下小切口手法碎核白内障摘除人工晶状体植入术在老年性白内障治疗中的安全性。对术中并发症进行分析并提出相应的处理措施。方法:对122例122眼白内障患者进行小切口手法碎核及人工晶状体植入术。结果:术中:巩膜瓣豁口2例(1.6%),虹膜脱出4例(3.3%),虹膜根部离断3例(2.4%),晶状体后囊膜破裂7例(5.7%)。术后:角膜内皮条样混浊10例(8.2%),前房少量纤维素渗出3例(2.4%)。结论:小切口手法碎核白内障摘除人工晶状体植入是一种安全、简便、有效的手术方法,术中晶状体核的处理是关键,是防止并发症发生的重要步骤。

·AIM:To evaluate the safety of small incision cataract extraction by manual nucleus division and intraocular lens(IOL)implantation for age-related cataract to analyze the intrao-perative complications and put forward correspond-ing treatment measures.·METHODS:A total of 122 eyes of 122 cataract cases were performed with small incision cataract extraction by manual nucleus division and IOL implantation through surface anesthesia.·RESULTS:Intraopertive compications included scleral flap gap in 2 eyes(1.6%),iris prolapse in 4 eyes(3.3%),iridodialysis in 3 eyes(2.4%)and posterior capsule rupture in 7 eyes(5.7%),postoperative complication included strip shaped opacity in corneal endothelium in 10 eyes(8.2%)and anterior chamber fribrinous exudates in 3 eyes(2.4%).·CONCLUSION:Small incision cataract extraction by manual nucleus division and IOL implantation is a safe,simple and effective operative method.The treatment of lens nucleus is the key of the operation and also the important step to prevent complications.·

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