目的:探讨小切口非超声乳化白内障摘除联合人工晶状体植入术在基层医院开展的临床实用性。方法:对本院收治的323例362眼老年性白内障分别进行小切口非超声乳化白内障摘除术和超声乳化白内障吸出术。观察比较术中后囊破裂、术后视力、角膜水肿、前房纤维素性反应和后发性白内障的发生。结果:术中后囊膜破裂、角膜水肿、前房纤维素性反应和后发性白内障的发生及术后1wk和3mo视力比较,两组差异无显著性,但小切口非超声乳化手术价格低廉。结论:小切口非超声乳化白内障摘除术具有损伤小,视力恢复快,价格低廉,适于基层医院开展的优点。

AIM:To investigate the clinical curative effect of small incision nonphacoemulsification cataract extraction and intraocular lens implantion in the base hospital.METHODS:A total of 323 patients 362 eyes with cataracts admitted to our hospital underwent the small incision nonphacoemulsification cataract extraction and the phacoemulsification cataract extraction.The rupture of posterior capsule,prolapse of vitreous,visual acuity,corneal edema,fibrocculent reaction of anterior chamber and the occurrence of after-cataract in two groups were compared and analyzed.RESULTS:The rupture of posterior capsule,prolapse of vitreous,comeal edema,fibrocculent reaction of anterior chamber and the occurrence of after-cataract,the visual acuity one week and three months after operation in two groups were not significantly different.The price of operation was significantly lower in the small incision non-phacoemulsification cataract extraction group compared with that of the phacoemulsification cataract extraction group.CONCLUSION:The small incision nonphacoemulsifica-tion cataract extraction has advantages of small injury,quick recovery of visual acuity,low price and being operated easily in the base hospital.

R779.66