【摘要】 目的 观察巩膜隧道小切口手法分核白内障摘除人工晶体植入术的临床疗效。方法 对212例240眼白内障患者在局麻下行巩膜隧道小切口手法分核摘除人工晶体植入术。观察术中、术后并发症及术后第1天裸眼视力。术后随访3～24个月。结果 术中并发症15眼，其中晶状体后囊膜破裂6眼，晶状体悬韧带断离3眼，虹膜根部断离3眼，角膜后弹力层脱离3眼；术后并发症110眼，其中角膜水肿98眼，前房出血5眼，人工晶体偏移4眼，瞳孔变形3眼。术后第1天裸眼视力>0.3者195眼(81.3%)，>0.1者30眼(12.5%)，<0.1者15眼(6.3%)，裸眼视力<0.1者有8眼未植入人工晶体。结论 巩膜隧道小切口手法分核白内障摘除人工晶体植入术效果满意，手术技巧性强，技术不熟练、操作不当易出现并发症。

    【关键词】 小切口；手法分核；白内障；人工晶体

    Clinical observation on the method of sclera tunnel anterior chamber small incision cataract extraction and intraocular lens implantation

    GAO Wen-sheng.

    Department of Ophthalmology,The People’s Hospital of Yongzhou City,Yongzhou 425000,China

    【Abstract】 Objective To investigate the curative effect of the sclera tunnel anterior chamber small incision cataract extraction and intraocular lens implantation.Methods With sclera tunnel,anterior chamber small incision cataract extraction and intraocular lens implantation was performed in 212 cases (240 eyes) of cataract,under local anaesthesia.The results during and after the operation was observed,including postoperative complications and visual acuity in a week after the operation.The mean follow-up time was 3～24 months.Results Operative complications in 15 eyes,which included tear of posterior capsule in 6 eyes,dehiscence of the zonule in 3 eyes,commotio retinae in 3 eyes,dislocation of cornea descement’s membrane in 3 eyes. Postoperative complications in 110 eyes,which included corneal edema in 98 eyes in a week after the operation,hyphema in 5 eyes,dislocation lens in 4 eyes,corectopia in 3 eyes.Visual acuity were better than 0.3 in 195 eyes(81.25%),better than 0.1 in 30 eyes(12.5%),lower than 0.1 in 15 eyes (6.25%) which included 8 eyes without IOL implantation.Conclusion With the method of sclera tunnel anterior chamber small incision cataract extraction and intraocular lens implantation,we have got satisfied effect,but the operation need high skills.If there’s unfamiliar or improper operation,it will cause complications. ......