目的:探讨独眼白内障患者超声乳化吸出及人工晶状体植入手术的效果。方法:对44例独眼白内障患者行超声乳化吸出及人工晶状体植入手术治疗。观察术后3mo术眼的视力;观察术中、术后并发症发生情况。随访3～12(平均4.2)mo。结果:术后视力均有不同程度提高,术后3mo视力<0.1者2例(4.5%),0.1～0.25者8例(18.2%),0.3～0.5者18例(40.9%),0.6～1.0者16例(36.4%)。脱残率77.3%,脱盲率95.5%。术中并发症:虹膜咬伤1例,前房少量出血1例,切口处虹膜脱出1例。术中并发症的发生率为6.8%。术后并发症:早期角膜水肿5例(11.4%),虹膜睫状体炎2例,术后早期眼压升高1例,术后1d前房积血1例,后囊膜混浊2例。无眼内炎及视网膜脱离等严重并发症。结论:对于独眼白内障患者,只要采取认真负责的态度,充分做好各种准备,超声乳化吸出加人工晶状体植入手术是安全和有效的,但对术者的技术及心理素质要求较高。

·AIM:To investigate the effect of phacoemulification on unique eye cataract.·METHODS:Forty-four patients with unique eye cataract underwent phacoemulsification.The preoperative visual acuity(VA)and postoperative VA were recorded.Intraoperative and postoperative complications were observed.Following up time was form 3 to 12 months.·RESULTS:Postoperative VA raised at different degrees:corrected VA<0.1 in 2 eye(4.5%),0.1-0.25 in 8 eyes(18.2%),0.3-0.5 in 18 eyes(40.9%)and 0.6-1.0 in 16 eyes(36.4%).The best-corrected VA better than 0.3 accounted for 77.3%,and the rate of VA larger than 0.05 was 95.5%.After operation,corneal endothelial edema were in 5 eyes(11.4%),and after cataract in 2 eyes(4.5%)·CONCLUSION:Eye condition of unique eye cataract patients is changeable.Individual operation plan should be settled according to specific circumstance.Phacoemulsification and intraocular lens implantation is safe and effective for unique eye cataract.·

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