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目的 :研究老年性白内障人工晶体植入术后并发症的原因和治疗措施。方法 :为 5 10例老年性白内障行现代囊外摘除、后房型人工晶体植入术 ,术后检查视力、眼压、眼底等 ,随访 8～ 2 4个月。结果 :术后角膜内皮混浊、皱折 2 96例 ,占 5 8.0 4 ;前房炎性反应 79例 ,占 15 .5 % ;晶体前膜 2 1例 ,前房出血 8例 ,眼压高 12例 ,瞳孔散大 6例 ,移位 12例 ,人工晶体偏位 14例 ,后囊膜混浊 4例。结论 :老年性白内障囊外摘除、人工晶体植入术后并发症形成的主要原因是操作不熟练 ,器械反复进入前房 ,以及进入前房的物质质量不可靠 ,操作熟练 ,进入前房稳定的物质质量 ,可减少术后并发症的发生。
Objective: To study the causes and treatment of complications after artificial lens implantation in senile cataract. Methods: Fifty cases of senile cataract were performed extracapsular cataract extraction and posterior chamber intraocular lens implantation. Postoperative visual acuity, intraocular pressure and fundus examination were performed. The patients were followed up for 8 to 24 months. Results: There were 2 96 cases of corneal endothelial opacities and wrinkles, accounting for 5 8.04. The inflammatory reaction in the anterior chamber was 79% (15.5%). There were 21 cases of anterior lens membrane, 8 cases of anterior chamber hemorrhage and 12 cases of high intraocular pressure Cases, mydriasis in 6 cases, 12 cases of shift, artificial lens deviation in 14 cases, 4 cases of posterior capsule opacity. CONCLUSIONS: The main causes of postoperative complications of extracapsular cataract extraction and intraocular lens implantation are unskilled operation, repeated entry of equipment into the anterior chamber, unreliability of the material entering the anterior chamber, proficiency in operation, and stability into the anterior chamber Material quality, can reduce the incidence of postoperative complications.