晶體乳化小切口白內障手術之臨床結果長期評估

Clinical Results in Small Incision Cataract Surgery with Phacoemulsification-Long Term Follow-Up

何美玲(Mei-Ling Ho) ； 湯維仁(Wey-Ren Tang) ； 何一滔(Ye-Tau Ho)

《中華民國眼科醫學會雜誌》 34卷3期 (1995/09) Pp. 355-360

https://doi.org/10.30048/ACTASOS.199509.0007

摘要

我們回顧在本院所施行的257例（152名病患）超音波晶體乳化術併後房人工水晶體植入的病例，分析並統計內皮細胞數，散光變化，及視力結果，所有手術皆向同一名術者施行。超音波晶體乳化手術的內皮細胞損失率，不論是較硬白內障或中度程度白內障與傳統囊外晶體摘除術相比較，並無明顯差異(7.85%, and 7.15% vs. 7.89%)。散光變化在不同縫合組之間也無明顯變化，術後三個月的散光滑移，不縫合組為0.82D，1 stitch縫合組為0.92D，X型縫合組為1.10D，雙X型縫合組為1.33D，horizontal縫合組為0.75D。術後三個月最佳矯正視力大於20/25者占80%，大於20/40者占96%。因此，我們認為超音波晶體乳化手術實為一安全且有效的白內障手術方式。

並列摘要

In a retrospective study, we analyzed endothelial cell counts, astigmatism changes, and visual outcome in a series of 257 eyes (152 patients) who had received phacoemulsification with posterior chamber IOL implantation, all surgery was performed by same one surgeon. The corneal endothelial cell losses were recorded and compared with conventional ECCE procedure. No significant difference was found between phacoemulsification and ECCE (7.85%, and 7.15% vs. 7.89%). Astigmatism changes were analyzed between different sutured wound and unsutured wound preoperatively, 3months and 1 year postoperatively. Astigmatism regression after 3 months of surgery showed no significant difference within non-suture group (0.82D), 1 stitch suture group (0.92D), X suture group (1.10D), double X suture group (1.33D) and horizontal suture group (0.75D). The corrected visual activity of 20/25 or better was achieved in 80% cases 3 months postoperatively, 96% achieved 20/40 or better. We concluded that phacoemulsification was reliable procedure for cataract surgery.

並列關鍵字

Phacoemulsification ； endothelial cell loss ； Astigmatism ； Small Incision surgery