門診白內障摘除併人工水晶體植入手術

Outpatient Cataract-IOL Implantation Surgery

盧雪玉(Hsuei-Yuh Lu) ； 陳昌文(Chang-Wen Chen) ； 劉榮宏(Jorn-Hon Liu)

《中華民國眼科醫學會會刊》 27卷1期 (1988/05) Pp. 89-94

https://doi.org/10.30048/ACTASOS.198805.0017

摘要

一般接受白內障摘除術的病人，根據保守的傳統，皆要住院臥床休息，並且有許多限制。由於顯微手術的進步及器械、縫線的改良，病人住院期間縮短且手術後立即走動自如，並無增加手術後併發症的發生率。由於床位不敷使用，白內障病人往往須要久等床位入院接受手術，因此我們自1986年2月至1987年3月，以門診方式施行白內障摘除併後房式人工水晶體植入手術，共48例，同時選擇48例住院的白內障病例，分別比較其併發症、術後視力情形，經六個月以上的追踪檢查，矯正視力≥0.6者，門診組有93.8%，住院組有89.6%，兩組的併發症及視力改善情形相似。由我們的臨床結果顯示，若床位有限，選擇健康、合作的病患，經由精確的顯微手術，以門診方式來進行白內障摘除併後房式人工水晶體植入手術，是一種安全，經濟而且易被接受的才式。

並列摘要

A consecutive series of 48 cases of cataract(PC)IOL implantation surgery were operated upon on as an outpatient basis from Feb. 1986 to Mar. 1987. A 48 inpatients underwent same cataract-implant surgery are collected for comparison.
All of the cases were followed for 6 months or more. There was a mean follow-up period of 10.1 months for inpatients and 10.7 months for outpatients. Corrected visual acuity of 6/10 or better at 6 months after surgery was present in 89.6% of inpatients and 93.8% of outpatients. The postoperative outcomes of these outpatients are similar to those of a corresponding inpatient population. From our preliminary results, there were no serious complications related to outpatient procedure.
With carefully microsurgical techniques, cataract-IOL implantation surgery can be performed safely on an outpatient basis. We claim that this method is safe, economical and definitely acceptable in selected cases.

並列關鍵字

Outpatient ； inpatient ； Cataract-implant Surgery