Observation of Curative Effect of Cataract Phacoemulsification and Intraocular Lens Implantation Under Topical Anesthesia in the Treatment of Complicated Cataract
Peng Yan
Ophthalmic Operating Room,Second People's Hospital of Zhengzhou ,Zhengzhou 450000,China
Abstract：Objective To investigate the efficacy of phacoemulsification and intraocular lens implantation under topical anesthesia in the treatment of combined cataract.Methods A retrospective analysis of 240 patients（253 eyes）who underwent cataract phacoemulsification and intraocular lens implantation under topical anesthesia.Assess the patient's visual acuity recovery after surgery,The intraocular pressure,anterior chamber angle,anterior chamber depth transformation and astigmatism were compared before and after surgery,and the incidence of intraoperative and postoperative complications was calculated.Results 163 eyes had uncorrected visual acuity ≥0.5 on the first day after operation,accounting for 64.03%,211 eyes had uncorrected visual acuity ≥0.5 on the seventh day after operation,accounting for 83.39%,and 227 eyes had uncorrected visual acuity ≥0.5 one month after operation,accounting for 89.72% ;The mean intraocular pressure of the patients after operation was（18.71±2.80）mmHg,which was higher than that before operation（34.61±5.19）mmHg decreased significantly;compared with preoperative,the depth of the central anterior chamber of the patients was significantly increased,and the angle of the chamber was widened;the astigmatism of the patients at 1 and 3 months after surgery was significantly higher than that before surgery.Compared with preoperative,there were significant decreases;intraoperative complications accounted for 5.92% of iris prolapse,5.13% of posterior capsular rupture,postoperative complications were mainly corneal edema,accounting for 9.48%.Conclusion The clinical effect of cataract phacoemulsification and intraocular lens implantation for cataract patients under topical anesthesia is remarkable,which can not only effectively improve the patients'vision,reduce the patients' intraocular pressure and astigmatism,but also effectively reduce the occurrence of intraoperative and postoperative complications.It has high safety and is worthy of clinical promotion and application.
彭艳. 表面麻醉下白内障超声乳化人工晶状体植入术治疗合并白内障的疗效观察[J]. 哈尔滨医药, 2023, 43(1): 24-26.
Peng Yan. Observation of Curative Effect of Cataract Phacoemulsification and Intraocular Lens Implantation Under Topical Anesthesia in the Treatment of Complicated Cataract. journal1, 2023, 43(1): 24-26.
2023, Vol. 43 
