首页|超声乳化吸除联合人工晶体植入术治疗白内障的疗效分析

超声乳化吸除联合人工晶体植入术治疗白内障的疗效分析

扫码查看
目的 分析白内障患者行超声乳化吸除联合人工晶体植入术的临床治疗效果及安全性。方法 选取2022年7月—2023年本院收治的白内障患者42例为研究对象。比较治疗前、后视力恢复效果,视觉质量评分,角膜散光度、眼轴长度变化差异,分析手术并发症发生率。结果 (1)患者术后视力较术前均显著提升,术后1周时患者术眼视力测评结果高于术前,差异有统计学意义(P<0。05);术后1个月时术眼视力测评结果较术前、术后1周升高,差异有统计学意义(P<0。05)。(2)术后康复期间受白内障摘除及人工晶状体植入影响,患者视觉质量均逐步恢复,患者术后1个月时夜间视物、看电视、阅读书写及精细操作质量评分较术前提升,差异有统计学意义(P<0。05)。(3)患者术后角膜散光度及眼轴长度较术前均呈下降趋势变化,且术后1个月时角膜散光度低于术前,差异有统计学意义(P<0。05);术前、术后1个月时眼轴长度比较差异无统计学意义(P>0。05)。(4)患者术后手术并发症发生率为9。52%,含高眼压2例、角膜水肿1例、前房反应1例,经对症处理后均缓解或自愈。结论 超声乳化术联合人工晶状体植入治疗白内障临床效果确切,患者术后视力、视觉质量改善效果确切,且可起到角膜散光度改善效果,临床安全性确切。
Curative Effect Analysis of Phacoemulsification Combined with Intraocular Lens Implantation for Cataracts
Objective To analyze clinical treatment effect and safety of phacoemulsification combined with intraocular lens implantation for cataract patients.Methods The paper chose 42 cataract patients met research requirements treated with phacoemulsification combined with intraocular lens implantation treatment from July 2022 to June 2023 for comparative clinical study.Visual recovery effect,visual quality scores,corneal astigmatism,and axial length changes were compared before and after treatment,and incidence of surgical complications was analyzed.Results(1)Postoperative visual acuity of patients was significantly better than before surgery.1 week after surgery,postoperative visual acuity evaluation results were higher than before sugery,with statistical significance(P<0.05).Visual acuity assessment results of surgical eye 1 month after surgery were significantly higher than before and 1 week after surgery,with statistically significant difference(P<0.05).(2)During postoperative rehabilitation period,visual quality of patients gradually recovered due to cataract extraction and intraocular lens implantation.1 month after surgery,quality scores of nighttime vision,watching TV,reading and writing,and fine operation were higher than before surgery,with statistical significance(P<0.05).(3)Postoperative corneal astigmatism and axial length showed a decreasing trend after surgery,and corneal astigmatism 1 month after surgery was lower than before,with statistical significance(P<0.05).There was no statistically significant difference in axial length between preoperative and postoperative months,with P>0.05.(4)Incidence of postoperative surgical complications was 9.52%,including 2 cases of high intraocular pressure,1 case of corneal edema,and 1 case of anterior chamber reaction.After symptomatic treatment,condition of all cases improved or healed.Conclusion Combination of phacoemulsification and intraocular lens implantation can achieve definite clinical effect in treatment of cataracts.Postoperative visual acuity and visual quality of patients have definite improvement effect,and can improve corneal astigmatism,with definite clinical safety.

Ultrasound emulsificationArtificial lens implantationCataractVisual quality

郑文丽

展开 >

常州市金坛第一人民医院 眼科,江苏 常州 213200

超声乳化 人工晶体植入 白内障 视觉质量

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(8)
  • 13