[1]李佳佳,陈彬川,帖红艳,等.白内障超声乳化吸出联合人工晶状体植入术高危因素临床分析[J].眼科新进展,2014,34(5):448-450.[doi:10.13389/j.cnki.rao.2014.0122]
　Ll Jia-Jia,CHEN Bin-Chuan,TIE Hong-Yan,et al.Risk factors of phacoemulsification with intraocular lens implantation[J].Recent Advances in Ophthalmology,2014,34(5):448-450.[doi:10.13389/j.cnki.rao.2014.0122]
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白内障超声乳化吸出联合人工晶状体植入术高危因素临床分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年5期
页码:
448-450
栏目:
应用研究
出版日期:
2014-05-05

文章信息/Info

Title:
Risk factors of phacoemulsification with intraocular lens implantation
作者:
李佳佳; 陈彬川; 帖红艳; 雷方; 张鑫
４５００１４　河南省郑州市， 郑州大学第二附属医院眼科
Author(s):
Ll Jia-Jia ;  CHEN Bin-Chuan ; TIE Hong-Yan ;  LEI Fang ;  ZHANG Xin
关键词:
白内障; 超声乳化手术; 高危因素; 人工晶状体
Keywords:
cataract ;  phacoemulsification ;  risk factors ;  intraocular lens
DOI:
10.13389/j.cnki.rao.2014.0122
文献标志码:
A
摘要:
目的　总结白内障超声乳化吸出联合人工晶状体植入手术的高危因素和术中、术后并发症。方法　对９１２例（１０５２ 眼）行白内障超声乳化吸出联合人工晶状体植入术的患者总结术前增加手术难度、影响术后视力恢复的高危因素，并统计患者术中、术后并发症。结果　术前高危因素有２８种，主要包括高血压４２３例（４６４％），糖尿病３５１例（３８５％），哮喘２８例（３１％），驼背３７例（４１％），高度近视６３眼（６０％），抗青光眼手术史４８眼（４６％），玻璃体切割术史７４眼（７０％），角膜老年环３６７眼（３４９％），虹膜粘连６４眼（６１％），膨胀期白内障８７眼（８３％）等。术中并发症包括前囊膜破裂６眼（０６％）、后囊膜破裂１３眼（１２％）、后弹力层脱离１眼（０１％）、虹膜损伤１４眼（１３％）、晶状体核坠入玻璃体内１眼（０１％）；术后并发症包括角膜内皮水肿５７眼（５４％）、一过性高眼压８３眼（７９％）、黄斑水肿６眼（０６％）、人工晶状体移位１眼（０１％）、虹膜无张力１眼（０１％）。结论　全面了解术前存在于患者影响手术的高危因素，做好术前、术中充分准备，有助于减少手术并发症。
Abstract:
Objective To summarize the risk factors of phacoemulsification cataract surgery with intraocular lens implantation. and analyze the relationship between complications and risk factors. Methods The risk factors that increasing the difficulty of phacoemulsification cataract surgery with intraocular lens implantation and affecting visual acuity in 912 cases( 1052 eyes) were summarized. Intra-operative and post-operative complications were counted. Results A total of 28 kinds of pre-operative risk factors affecting the surgery were counted, including hypertension in 423 cases ( 46. 4% ) , diabetes in 315 cases ( 38. 5 % ) . asthma in 28 cases ( 3. 1% ) , humpbacked in 37 cases ( 4. 1% ) , high myopia in 63 eyes ( 6. 0% ) , glaucoma surgery in 48 eyes ( 4. 6% ) , vitrectomy in 74 eyes( 7. 0% ) , cornea arcus senilis in 367 eyes( 34. g% ) ,synechia of iris in 64 eyes(6. 1% ) .intumescent cataracts in 87 eyes ( 8. 3% ) . et al. Intra-operative complications included anterior capsular rupture in 6 eyes ( 0. 6% ) , posterior capsular rupture in 13 eyes( 1. 2% ) .Descemet ’ s membrane detachment in I eyes( 0. 1% ) ,iris damage in 14 eyes ( 1. 3% ) , drop of lens fragments into vitreous in I eye ( 0. 1% ) . Post-operative complications included corneal endothelial edema in 57 eyes ( 5 . 4% ) , temporary intraocular hypertension in 83 eyes(7. g% ) .macular edema in 6 eyes( 0. 6% ) .intraocular lens shifting in I eye (0. 1% ) ,pupillary dilatation in I eye (0. I % ) . Conclusion Getting the whole picture of risk factors before surgery and doing preparation for cataract surgery carefully can reduce intra-operative and post-operative complications.

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备注/Memo

备注/Memo:
郑州市科技局基金资助
更新日期/Last Update: 2014-05-04