方法：回顾性分析2013-09/2015-08在苏丹援外医疗期间进行小切口非超声乳化白内障手术患者462例536眼的临床资料，观察术中、术后并发症及术后第1d，1wk，1mo的视力和眼压。

结果：术中并发症：后囊膜破裂、玻璃体脱出者18眼(3.4%)，虹膜脱出者10眼(1.9%)，晶状体悬韧带断裂者7眼(1.3%)，人工晶状体未植入者5眼(0.9%)，局限性后弹力层撕脱者3眼(0.6%)，虹膜根部离断者1眼(0.2%)。术后并发症：不同程度的角膜水肿者47眼(8.8%)，前房炎性反应者32眼(6.0%)，瞳孔欠圆或轻度上移者12眼(2.2%)，上方虹膜嵌顿于隧道切口者3眼(0.6%)，前房积血者2眼(0.4%)，感染性眼内炎者1眼(0.2%)。术后裸眼视力：术后第1d，≤0.1者52眼(9.7%)，>0.1～<0.3者97眼(18.1%)，0.3～<0.5者129眼(24.1%)，≥0.5者258眼(48.1%)； 术后1wk，≤0.1者28眼(5.2%)； >0.1～<0.3者66眼(12.3%)； 0.3～<0.5者150眼(28.0%)； ≥0.5者292眼(54.5%)； 术后1mo，部分患者未按时随访，记录随访复查的患者≥0.5者321眼。眼压：术后第1d，眼压≥20mmHg者26眼(4.9%)； 术后1wk，眼压≥20mmHg者2眼(0.4%)； 术后1mo，外伤性白内障术后患者眼压仍控制不佳，行术眼小梁切除术后眼压恢复正常。

结论：小切口非超声乳化白内障手术联合人工晶状体植入术具有切口小、手术时间短，相对安全，易于掌握，无需缝线，术后视功能恢复快，手术费用低的优点； 同时手术器械要求简单，不需昂贵的医疗设备、耗材和专业人员的配合，适合于眼科援外医疗、复明工程及边远地区防盲工作中应用。

METHODS:From September 2013 to August 2015, we analyzed the 462 Sudanese cataract cases(536 eyes)performed cataract surgery by the way of the small incision non phacoemusification with intraocular lens(IOL)implantation and summarized the intraoperative and postoperative complications, the eyesight and intraocular pressure(IOP)of the eyes in 1d, 1wk and 1mo after operation.

RESULTS: Intraoperative complications: posterior capsular ruptured and vitreous prolapsed in 18 eyes(3.4%), iris prolapsed in 10 eyes(1.9%), suspensory ligament of the lens ruptured in 7 eyes(1.3%), not implanted IOL in 5 eyes(0.9%), descent's membrane detachment in 3 eyes(0.6%), iridodialysis in 1 eye(0.2%). Postoperative complications: corneal edema in 47 eyes(8.8%), anterior chamber inflammatory reaction in 32 eyes(6.0%), pupil oval or slightly upward in 12 eyes(2.2%), the upper iris incarcerated in the tunnel incision in 3 eyes(0.6%),hyphema in 2 eyes(0.4%), infective endophthalmitis in 1 eye(0.2%). Visual acuity: uncorrected visual acuity were ≤0.1 in 52 eyes(9.7%), >0.1-<0.3 in 97 eyes(18.1%), 0.3-<0.5 in 129 eyes(24.1%), and ≥0.5 in 258 eyes(48.1%)in 1d after operation. Uncorrected visual acuity was ≤0.1 in 28 eyes(5.2%), >0.1-<0.3 in 66 eyes(12.3%), 0.3-<0.5 in 150 eyes(28.0%), and ≥0.5 in 292 eyes(54.5%)in 1wk after operation. At 1mo after operation, some patients did not follow-up on time, uncorrected visual acuity of reviewer above 0.5 in 321 eyes. IOP: in 1d after operation, IOP above 20 mmHg in 26 eyes(4.9%). In 1wk after operation, IOP above 20 mmHg in 2 eyes(0.4%). In 1mo after operation, 1 eye was still poor control with traumatic cataract surgery, and IOP returned to normal after the reoperation of trabeculectomy.

CONCLUSION:The small incision non phacoemusification cataract surgery with IOL implantation has the advantages of small incision, short operation time, relatively safe, easy to mastered, no-suture, quick visual function recovery and low cost. And, the operation equipments are simple and do not need many expensive medical equipments, supplies and professional staffs. So, the small incision non phacoemusification cataract surgery with IOL implantation is suitable for the anti-blind work of cataract in the foreign aid and remote areas.