无缝线中切口白内障囊外摘除术治疗硬核白内障的临床效果

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Abstract Objective To explore the clinical effect of suturless large incision manual cataract extraction (SLIMCE)in the treatment of hard nucleus cataract.Methods A total of 200 cases of hard nucleus cataract patients admitted to Fenyi People′s Hospital of Jiangxi Province from April 2016 to April 2018 were selected as the research objects,they were divided into control group (100 cases)and observation group (100 cases)according to random number table method.The control group was treated with traditional large incision extracapsular cataract extraction,while the observation group was treated with SLIMCE.The visual acuity,corneal astigmatism and corneal endothelial cell injury were compared between the two groups one week and one month after operation.Results One week after operation,the percentages of naked eye vision in the observation group were lower than those in the control group at 0.1-0.4 level,higher than those in the control group at＞0.4-0.9 level,and higher than those in the control group at＞0.9 leve,the differences were statistically significant(P＜0.05).One month after operation,the proportion of naked eye vision in the observation group was lower than that in the control group at the level of＞0.4-0.9,and the proportion of naked eye vision at the level of＞0.9 was higher than that in the control group,the differences were statistically significant(P＜0.05).The astigmatism of the observation group was lower than that of the preperative one week after operation,the astigmatisn one month after operation was lower than that preoprathve and dntol group,the endothelial cell reduction of the observation group was lower than that inpreaperative and control group one week and one month after operation,the differences were statistically significant(P＜0.05).Conclusion SLIMCE is an effective method for hard nucleus cataract patients,which can improve their visual acuity and enhance the safety of treatment.

Key words： Hard nucleus cataract Sutureless large incision manual cataract extraction Astigmatism Corneal endothelial cells

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	Articles by authors
	YANG Hong-sheng
	XIA Hou-li
	YAN Si-zhen
	XIA Huan

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YANG Hong-sheng,XIA Hou-li,YAN Si-zhen, et al. Clinical effect of sutureless large incision manual cataract extraction in the treatment of hard nucleus cataract[J]. 中国当代医药, 2019, 26(2): 137-139.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I2/137

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