【摘要】 目的 通过对297例(315眼)现代白内障囊外摘除人工晶体植入(ECCE+IOL)术后视力研究，进而改进技术和方法，使患者获得良好视力。方法 根据观察297例(315眼)白内障患者术后视力，检测患者术前、术中、术后情况，分析患者并发症的情况。结果 从本组病例看,术后视力以0.3～0.5居多,占53.0%,而0.6～1.0,0.1～0.25次之,分别占19.4%,术后低视力者，除术中、术后并发症较多外，与术前全身及眼部条件较差有关。结论 ECCE+IOL手术除了熟练操作外，还需从改进切口、减少并发症等方面着手，提高手术质量，才能使患者获得良好视力。

    【关键词】 白内障手术；视力；并发症

    297 cases(315 eyes) sight analysis after modern extracapsular cataract extirpation and intraocular lens implantation

    ZHAO Feng-qin.

    The People’s Hospital of Bishan County,Chongqing 402760,China

    【Abstract】 Objective Through visual acuity research after modern extracapsular cataract extirpation and intraocular lens implantation(ECCE+IOL)operation, we will improve the technology and method to make patients obtain good visual acuity.Methods We analyzed patients complication according to observation of 297 cases (315 eyes) cataract patients’ visual acuity after operation, and check and measurement for the patients before, during and after operation.Results In this group of cases, most of patients’ visual acuity can reach 0.3～0.5 after operation, accounting for 55%, while patients who can reach 0.6～1.0 and 0.1～0.25 account for 19.37% respectively, and for the patients with low visual acuity, except for more complications during and after operation, their situations are related to their conditions of whole body and eye part before operation.Conclusion For ECCE+IOL operation, in addition to skilled operation, it is necessary to focus on improving incision and reducing complications etc to improve quality of operation in order to make patients obtain good visual acuity. ......