目的:探讨表面麻醉联合球结膜下麻醉施行小切口非超声乳化术在复明手术中的可行性,并对其效果进行评价。方法:对180例180眼采用倍诺喜表面麻醉联合球结膜下麻醉,施行小切口非超声乳化术,分析手术的麻醉效果及手术效果。结果:麻醉效果满意率为97.2%;基本满意率为2.8%;术后1d矫正视力≥0.5者123眼(68.3%);术后1wk矫正视力≥0.5者156眼(86.7%);术中未出现常规麻醉可能出现的局部及全身并发症。结论:采用表面麻醉联合球结膜下麻醉开展小切口非超声乳化术,在复明工程中应用安全、有效、实用,提高了复明手术质量。

AIM:To explore the clinical practicality and efficacy of small incision non-ultrasonic therapy under topical anesthesia associated with peribulbar anesthesia in the operation of preventing blinding.METHODS:Totally 180 cases 180 eyes were selected.They underwent small incision non-ultrasonic therapy under topical anesthesia associated with peribulbar anesthesia.RESULTS:The rate of anesthesia satisfaction was 97.2%.123 eyes(68.3%) got a visual acuity of 0.5 or more one day after operation,and the rate increased to 86.7% one week after operation.No serious complications occurred and the effects were satisfactory.CONCLUSION:It is safe and practical of using topical anesthesia associated with peribulbar anesthesia in the small incision non-ultrasonic therapy of preventing blinding.It also improves the quantity of the operation of blindness prevention.

R779.6