|
|
|
| A Study of Curative Effect of Split Nuclear Technique on Small Incision Cataract in Anterior Chamber Horizontal Space |
| WU Zidong, CHEN Xuehong, ZHANG Hong, et al |
| The Second Affiliated Hospital of Hainan Medical College, Hainan Haikou 570311, China |
|
|
|
|
Abstract Objective: To investigate the curative effect of split nuclear technique on small incision cataract in anterior chamber horizontal space. Methods: The 110 patients with simple age-related cataract treated in our hospital were divided into control group and experimental group according to the patients' voluntary choice of surgical methods. 51 patients in the control group with 56 eyes underwent cataract phacoemulsification, and 59 patients in the experimental group with 68 eyes underwent small incision cataract. Correlative analysis was conducted of visual acuity, astigmatism, central corneal thickness, and complications before and after treatment in the horizontal space of the anterior chamber. Results: Before operation, the visual acuity of the control group and the experimental group were all less than 0.5, and it was improved in both groups compared with that at 1d, 1mo, and 3mo after surgery (P<0.05). And the control group and the experimental group were compared with each other at the same time. The difference was small (P>0.05). The difference of corneal astigmatism in the control group and the experimental group was small (P>0.05) before operation, and the difference was greater than that before surgery (P<0.05), and as to the rest time, there was no difference (P>0.05); the central corneal thickness of the control group and the experimental group was not significant compared with that before the operation, 1 day, 1mo, and 3mo after the operation (P>0.05). At different time points, the central corneal thickness ratio was significantly larger 1d after the operation, compared with the preoperative period (P<0.05), and in the remaining time it was smaller (P>0.05). Compared with the control group, the incidence of postoperative adverse events in the experimental group was reduced and there was a statistical difference. (8.82% vs 21.43% χ2=5.257, P<0.05). Conclusion: Clip splitting technique on small incision cataract in anterior chamber horizontal space can effectively improve the visual acuity, and it is safe and worthy of clinical application.
|
|
|
|
|
|
[1] 李秀贵.不同切口超声乳化术联合小梁切除术治疗白内障合并青光眼疗效研究[J].中国实用眼科杂志, 2017, 35(4):411~414.
[2] 马健利, 刘玉强, 张敏, 等.25G玻璃体切割手术联合超声乳化治疗伴浅前房的白内障疗效观察[J].山东医药, 2017, 57(46):94~97.
[3] Wiroj Limtrakarn, Somporn Reepolmaha, Pramote Dechaumphai. Transient temperature distribution on the corneal endothelium during ophthalmic phacoemulsification: a numerical simulation using the nodeless variable element[J]. Asian Biomedicine, 2018, 4(6):885~892.
[4] 边建军, 郭陈煜, 周超.等.不同切口大小超声乳化术联合玻璃体切割术治疗老年性白内障合并黄斑病变[J].中国医师进修杂志, 2018, 41(2):158~162.
[5] 李静华, 杨熹晖, 李鹤龄, 等.小切口白内障手术垂直劈核的效果观察[J].昆明医科大学学报, 2015, 36(1):130~132.
[6] 刘卫华, 王军.同轴微切口与传统小切口超声乳化术的临床疗效及术后并发症对比分析[J].眼科新进展, 2019, 12(9):874~876.
[7] Ammous I, Bouayed E, Mabrouk S, et al. Phacoemulsification versus manual small incision cataract surgery: Anatomic and functional results.[J]. 2017, 40(6):460~466.
[8] Ha Jeong Noh, Seong Taeck Kim. Combined treatment of phacoemulsification and single-port limited pars plana vitrectomy in acute angle-closure glaucoma[J]. International Journal of Ophthalmology, 2019, 12(6):974~979.
[9] 姜春辉, 郭宣妮, 朱安泰, 等.手法劈核人工晶状体植入辅助治疗高度近视并发白内障的应用价值研究[J].山西医药杂志, 2016, 45(9):4~6.
[10] Wan-Ju Yang, Xing-Hua Wang, Fang Zhao, et al. Torsional and burst mode phacoemulsification for patients with hard nuclear cataract: A randomized control study[J]. Medicine, 2019, 98(22):e15870. |
|
|
|
2020, Vol. 26 
