超声乳化联合无灌注静态吸引法吸除皮质治疗晶状体半脱位合并白内障39例-《西部中医药》

文章信息/Info

Title:: Phacoemusification Combined with Non-Perfusion Static Aspiration to Remove Cortex in Treating 39 Cases of Subluxation of Lens Complicated with Cataract

Author(s):: BI Jing-xiang1, LIU Yan-cai2, LI Jing-wei1, SUN Guo-ying1; 1 Tangshan Fengnan Hospital, Tangshan 063300, China; 2 Tangshan Municipality Hospital of Ophthalmology

Keywords:: subluxation of lens; non-perfusion static aspiration; cortex; phacoemulsification for cataract surgery

摘要:: 目的：观察无灌注静态吸引法吸除皮质在超声乳化治疗晶状体半脱位中的临床效果。方法：对39例(42眼)晶状体半脱位合并白内障患者行超声乳化白内障吸除术，术中应用无灌注静态吸引法吸除皮质，囊袋内植入折叠人工晶状体，并给予石斛夜光丸口服，1丸/次，3次/d，麝珠明目滴眼液，3滴/次，3次/d，连用7天后观察术后视力及并发症。结果：除1只眼因瞳孔变形视力提高不明显外，其余患者术后视力均得以提高，术后随访3个月，患者视力稳定，人工晶状体位置正，无明显手术并发症发生。结论：无灌注静态吸引法吸除皮质具有操作简单，安全，手术成功率高，临床效果佳，并发症少等优点。

Abstract:: Objective: To observe therapeutic effects of non-perfusion static aspiration during the course of phacoemusification for cataract surgery. Method: All 39 patients(42 eyes) received phacoemusification for cataract surgery. During the course non-perfusion static aspiration was used to remove cortex, Artificial lens were implanted, patients were also given with ShiHu YeGuangWan, one pill once，three times each day， SheZhu MingMu DiYanYe, three drops once, three times each day. Complication and postoperative vision were observed after treating seven consecutive days. Result: Visions of the rest patients improved except limited improvement of vision of one eye because of discoria. The follow-ups after surgery in three months found that the visions of the patients were stable, artificial lens were in upright position and there was no remarkable complications. Conclusion: Non-perfusion static aspiration has the advantages of simple, safe, efficient, best effects, easy to grasp and few complications in removing cortex.