|
|
Clinical effect of small incision extracapsular resection in the treatment of age-related cataract |
FENG Wei |
Department of Ophthalmology,Iron and Coal General Hospital of Liaoning Health Industry Group,Tieling 112700,China |
|
|
Abstract Objective To explore the clinical effectof small incision extracapsular resection in the treatment of age-related cataract.Methods A total of 240 patients with age-related cataract treated in our hospital from November 2016 to December 2017 were selected as the subjects.They were divided into study group and control group by computer randomization,with 120 cases in each group.Patients in the study group underwent small incision extracapsular enucleation,and in the control group,they were operated with phacoemulsification.The recovery of vision,the total incidence of complications,astigmatism,corneal cell density and the ratio of hexagonal cells were compared between the two groups.Results The vision recovery rate of patients in the study group was lower than that in the control group 72 hours after operation,and the difference was statistically significant(P<0.05).There were no significant difference in the vision recovery rates of 30 and 90 days after operation between the two groups(P>0.05).Therewas no significant difference in the total incidence of postoperative complications between the two group(P>0.05).There was no significant difference in preoperative astigmatism between the two groups(P>0.05).The astigmatism 72 hours after operation in the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in astigmatism at 30 days and 6months after operation between the two groups(P>0.05).The astigmatism of 72 hours and 30 days after operation in the two groupswas higher than that before operation,the difference was statistically significant(P<0.05).The astigmatism of 6months after operation in the two groupswas not statistically significant(P>0.05).There was no significant difference in corneal cell density or hexagonal cell ratio between the two groups before operation(P>0.05).The corneal cell density and hexagonal cell ratio of the two groups after operation were lower than those before operation,and the corneal cell density and hexagonal cell ratio of the study group after operation were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Small incision extracapsular resection is effective for age-related cataract patients,which has certain clinical application value.
|
|
|
|
|
[1] |
丁洁,贾冠美,张士宏,等.超声乳化术与小切口囊外摘除术治疗白内障患者的疗效及对角膜内皮细胞及生存质量的影响[J].现代生物医学进展,2018,18(14):2759-2762,2754.
|
[2] |
徐凯,朱丽丽,徐常山,等.随机对照研究比较表面麻醉与筋膜囊下麻醉在白内障小切口囊外摘除术中的效果[J].实用临床医药杂志,2018,22(1):114-116.
|
[3] |
杨乾军,方永亮,何根红,等.2004-2016年单中心光明工程白内障手术后急性感染性眼内炎的发病状况及预防措施探讨[J].中华眼视光学与视觉科学杂志,2018,20(3):178-182.
|
[4] |
沈琳,王霄娜,李栋军,等.扫频源前节相干光层析成像术与超声生物显微镜测量老年性白内障患者眼前节参数的一致性分析[J].中华眼科杂志,2018,54(9):678-682.
|
[5] |
刘荣凤,赵桂秋.晶状体囊袋减低张力撕囊法及常规撕囊法在白色白内障超声乳化吸除术中的应用[J].海南医学院学报,2017,23(18):2597-2600.
|
[6] |
张福香,辛晓蓉.传统小切口手术与同轴微切口超声乳化手术对年龄相关性白内障患者术后角膜知觉及视力的影响对比[J].广西医学,2019,41(1):4-7.
|
[7] |
张健,梁春萍.在流动手术车中改良角巩缘切口超乳术和手法小切口白内障囊外摘除术的比较[J].国际眼科杂志,2017,17(11):2085-2088.
|
[8] |
余秀萍,郭庆生,杨红玉.中老年白内障危险因素的统计分析[J].温州大学学报(自然科学版),2018,39(4):21-25.
|
[9] |
宋国强,刘俊杰,吴睿.影响老年白内障患者超声乳化术后视力水平的相关因素分析[J].湖北科技学院学报(医学版),2019,33(2):147-149.
|
[10] |
俞百元,戴玲琍.程序性护理措施在老年性白内障手术患者中的应用体会[J].安徽卫生职业技术学院学报,2019,18(2):71-72,75.
|
[11] |
孙游,赵扬,张玮,等.普拉洛芬联合玻璃酸钠治疗老年糖尿病白内障术后干眼症的疗效观察[J].解放军医学院学报,2018,39(12):1064-1066.
|
[12] |
厉海英.综合护理对老年白内障患者手术焦虑和抑郁情绪的干预效果[J].河南大学学报(医学版),2018,37(3):212-214.
|
[13] |
李谟汉,符小林,何福桃,等.儋州农村地区老年白内障复明手术效果及其影响因素分析[J].解放军医学院学报,2018,39(7):581-584.
|
[14] |
王丽莉,轩亚玲.优质护理在老年白内障超声乳化术围手术期的应用效果分析[J].齐齐哈尔医学院学报,2017,38(24):2946-2949.
|
[15] |
彭晋妍,王辉.小切口和超声乳化术治疗老年性白内障的临床疗效观察[J].赣南医学院学报,2017,37(6):907-910.
|
|
|
|