目的:回顾分析湖北省复明九号车仙桃基地为期25d,免费为贫困白内障患者施行白内障复明手术的临床疗效。方法:为经过严格筛查适合手术复明的贫困白内障患者,施行白内障超声乳化吸除术(或小切口非超声乳化白内障摘除术)及人工晶状体植入术。结果:本组270眼术后视力:1.2者2眼,1.0者25眼,0.8者21眼,0.6者48眼,0.5者33眼,0.4者33眼。共162眼,占60.00%。低视力:二级低视力0.3者46眼,0.2者33眼,一级低视力0.1者4眼,0.09～0.05者2眼。共85眼,占31.48%。盲:二级盲0.04～0.02者15眼,一级盲:指数8眼。共23眼,占8.52%。脱盲率91.48%。脱残率77.03%。结论:只有精心的术前筛查,规范的把握适应证和娴熟的手术技能,全程严格控制感染,才能保证手术车上短期大量手术的质量。而脱盲率和脱残率的高低,则主要由患者群自身综合因素决定。

AIM:To look back and analyse clinical effect of free cataract operation on poor cataract patients by Fuming No.9 car of Hubei Province staying in Xiantao for 25 days.·METHODS:The poor cataract patients who were strictly selected and suitable to operation were performed small incision non-phacoemulsification cataract extraction and intraocular lens implantation.·RESULTS:The 270 eyes’ post-operation vision in our group:1.2 (2 eyes),1.0 (25 eyes),0.8 (21 eyes),0.6 (48 eyes),0.5 (33 eyes),0.4 (33 eyes),totally 162 eyes and account for 60.00%.Low vision:second low vision 0.3 (46 eyes),0.2 (33 eyes),first low vision 0.1 (4 eyes),0.09-0.05 (2 eyes),totally 85 eyes and account for 31.48%.Blindness:second blindness 0.04-0.02 (15 eyes),first blindness (8 eyes),totally 23 eyes and account for 8.52%.Off-blind rate:91.48%.Off-remnant rate:77.03%.·CONCLUSION:Only through careful pre-operation selection,standard holding suitability,proficient operation skills and strictly controlling infection,can the quality of mass operation be guaranteed in operation car in a short time.However,the high and low of off-blind rate and off-remnant rate are primarily decided by the composite factors of patients themselves.

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