目的:回顾性分析Ⅳ级及Ⅴ级硬核白内障小切口非超声乳化摘除及人工晶状体植入术的临床疗效。方法:对205例235眼Ⅳ级及Ⅴ级硬核白内障患者施行小切口非超声乳化白内障摘除及人工晶状体植入术。结果:术后第1d裸眼视力≥0.5者156眼(66.4%);术后1mo最佳矫正视力≥0.5者200眼(85.1%),所有患者全部脱盲,脱残225眼(95.7%)。结论:小切口非超声乳化白内障摘除及人工晶状体植入术有切口愈合快,术后反应小,视力恢复快,并发症少,患者满意度高等优点。

AIM:To retrospective analysis the clinical effect of small-incision non-phacoemulsification combined with intraocular lens implantation in hard nuclear cataract.·METHODS:A total of 205 cases 235 eyes of hard nuclear cataract over IV which underwent small-incision non-phacoemulsification combined with intraocular lens implantation were retrospectively studied.·RESULTS:The uncorrected visual acuity was more than 0.5 in 156 eyes(66.4%)in postoperative day 1,and the best corrected visual acuity (BCVA) more than 0.5 was in 200 eyes (85.1%) in postoperative month 1. All the patients were relieved from blindness and 225 eyes (95.7%) were relieved from disable.·CONCLUSlON:Small-incision non-phacoemulsification combined with intraocular Iens implantation have some advantages such as fast wound heal,mild surgery reaction,good vision recovery,few complications and good patients’ satisfaction.

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