- 期刊
- OpenAccess
可替代晶體乳化術之小切口白內障手術―晶核切割術
An Alternative Technique in Small Incision Cataract Surgery without Phacoemulsification-Manual Phacofragmentation Technique
摘要
本篇報告介紹晶核切割術的手術方法，並探討及比較兩年多來，其與囊外白內障摘除術、晶體乳化術共一百零八個病例，在術後結果的差異。結果顯示晶核切割術及晶體乳化術優於囊外白內障摘除術，有較佳的早期視力回復及較少的術後散光。而晶核切割術則較晶體乳化術不須昂貴的儀器及所須技術轉移期較短，是一種可替代晶體乳化術的小切口白內障手術。至於角膜內皮細胞數目的變化，三者之間則無統計學上的差異。
關鍵字
無資料並列摘要
We report an alternative technique of small incision cataract surgery by using cutting board, cleaver, splitting forceps, and Mclntyre nucleus removal spoon to express a cataract through a 5mm small incision with-out a phaco machine. We also prospectively studied the post-operative changes of visual acuity, astigmatism, and endothelial cell loss of the alternative technique as compared with those occurring when ECCE and phacoemulsification were performed. Advantages include better early visual rehabilitation, less astigamtism, less suture time over ECCE, satisfactory results as phacoemulsification without the need of an expensive phaco machine. As to endothelial cell loss, there were no significant differences among the three.