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

doi:10.3969/j.issn.1001-8131.2023.01.009

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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.

Key words： Cataract Topical anesthesia Phacoemulsification Intraocular lens implantation

Received: 07 March 2022

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R776.1

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	Peng Yan

Cite this article:

Peng Yan. Observation of Curative Effect of Cataract Phacoemulsification and Intraocular Lens Implantation Under Topical Anesthesia in the Treatment of Complicated Cataract[J]. journal1, 2023, 43(1): 24-26.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2023.01.009 OR http://www.hrbyybjb.org.cn/EN/Y2023/V43/I1/24

[1] 邓宗兵,许春会,陈坤.表面麻醉在白内障超声乳化术中的临床效果分析[J].医药前沿,2021,11(4):3-4.
[2] 周巧云,阮肖艳,张露容.表面麻醉和筋膜囊下麻醉在白内障手术中的应用价值[J].中国药物与临床,2019,19(23):4172-4173.
[3] 程萍,杨艳风,王伟,等.超声乳化术治疗白内障合并高度近视疗效的影响因素[J].国际眼科杂志,2020,20(2):297-299.
[4] 刘光辉. 对糖尿病合并白内障患者进行表面麻醉下超声乳化手术的效果分析[J].当代医药论丛,2020,18(10):77-78.
[5] 王景,陈贻人,罗长阳.表面麻醉联合结膜下浸润麻醉用于青光眼合并白内障患者手术中的效果[J].特别健康,2019(23):135-136.
[6] 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.
[7] 方华,李杭珠,羊燕华,等.表面麻醉和球周麻醉在硬核白内障超声乳化手术中效果对比[J].浙江创伤外科,2019,24(1):201-202.
[8] 赵晴. 不同剂量右美托咪啶复合表面麻醉用于老年高血压患者白内障手术的效果分析[J].国际医药卫生导报,2019,25(20):3457-3459.
[9] 王华华,吕志刚.基层医院表面麻醉下白内障超声乳化联合人工晶体植入术的疗效分析[J].浙江临床医学,2017,19(6):1091-1092.
[10] 潘旭光. 白内障摘除与人工晶体植入术在闭角型青光眼合并白内障治疗中的安全性和有效性分析[J].中国医药指南,2018,16(36):156-157.
[11] 张虹,吴子东.白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的疗效观察[J].中华全科医学,2020,18(12):2010-2012.
[12] 肖云凌. 表面麻醉下超声乳化联合折叠人工晶状体植入术治疗白内障的临床结果分析[J].医药前沿,2019,9(23):108.
[13] 孟如法. 双切口超声乳化白内障吸除、人工晶状体植入联合复合式小梁切除术治疗青光眼合并白内障的临床疗效[J]中国医师杂志,2020,22(1):131-133.
[14] 梁景黎,邢秀丽,杨晓彤,等.2.2 mm和3.0 mm透明角膜切口超声乳化白内障吸除术后全角膜及角膜前后表面术源性散光的比较分析[J].中华眼科杂志,2019,55(7):495-501.