表面麻醉下小切口非超声乳化白内障手术并发症探讨
表面麻醉,,表面麻醉;小切口;非超声乳化白内障摘除;并发症,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 观察表麻下小切口非超声乳化白内障手术术中、术后并发症,对其进行分析并提出处理意见。方法 96例(125眼)白内障,表面麻醉下进行小切口非超声乳化白内障摘除并人工晶体植入术。结果 术中:虹膜脱出13眼,晶状体后囊破裂9眼。术后:角膜内皮条样浑浊29眼,片状浑浊10眼,前房纤维素样渗出7眼。结论 表麻下小切口非超声乳化白内障手术避免了球周、球后麻醉带来的一系列并发症。对晶状体核的处理较关键,亦是易产生并发症的步骤。【关键词】 表面麻醉;小切口;非超声乳化白内障摘除;并发症
Complication in small incisioin non-phacoemulsification cataract surgery with topical anesthesia
ZHANG Chunjie,ZHANG Fengxia,CAO Hui.Department of Ophthalmology,Central Hospital of Feicheng Mining Group Co.Ltd,Shandong 271608,China
【Abstract】 Objective To observe the complications caused by small incision non-phacoemulsification cataract operation with topical anesthesia,analyze the results and give some advice about the disposal. Methods 96 patients(125 eyes) were observed. After topical anesthesia,cataract extraction with IOL implantation in small incision were going on based on chop technique with lens loop pad. Results Intraoperative complications included iris prolapse in 13 eyes,posterior capsule rupture in 9 eyes,and some postoperative complications,including 29 strip shaped opacity in corneal endothelium,10 sheet shaped opacity in cornea endothelium,7 anterior chamber fribrinous exudates.Conclusion A lot of complications what caused by retrobulbar anesthesia and peribulbar anesthesia can be avoid with topical anesthesia in small non-phacoemulsification cataract surgery. It is very important to treat the lens nucleus accurately and this procedure would be more likely to bring on complications. ......
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