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Modern cataract surgery with phacoemulsification and nursing
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Modern cataract surgery with phacoemulsification and nursing
[Keywords:] Modern cataract care
Cataract micro-surgery technique is a major achievement, 70 years after the invention of the American Kelman, clinically proven and academic verification, promotion in the world. Truly phacoemulsification small incision, no pain, shorter operative time, intraoperative After the response to light, the ideal surgical wound healing [1]. ophthalmology hospital in December 2007 to August 2008 of 123 patients with surgery Infiniti phacoemulsification system, it is compared with the traditional phacoemulsification system, its advantages Use less ultrasonic energy, ultrasonic, high efficiency, high stability of anterior chamber, the treatment effect is remarkable. now with the surgery and experience reports are as follows.
1 Clinical data
1.1 General information on 123 cases of various types of cataracts, a total of 130 eyes; male and 56 cases, 60 eyes; female 67 cases, 70 eyes; aged 42 to 90 years, mean age 67 years. Surgical crystal grinding time 40 s ~ 2 min, 16% ~ 26% of energy, the total procedure time of 15 ~ 20 min, the average time of 16.15 min.
1.2 surgical anesthesia with peribulbar injection of anesthetic + surface under the microscope lens with a cataract emulsification system will crush, pumping clean, into the anterior chamber intraocular lens. More than 50 cases of postoperative visual acuity of 0.3, 0.5 or 80 cases, recovery good. adverse reactions in 20 cases of corneal edema, local eye drops 5% sodium chloride water recovery; secondary glaucoma in 10 cases, intravenous infusion of the symptoms disappeared after 20% mannitol; anterior chamber inflammatory exudate in 15 cases, the local drop Code special focus will be water cured.
2 Nursing
2.1 The equipment items for the three U.S. Alcon Infiniti phacoemulsification cataract model systems (referred to as phacoemulsification machine), ultrasonic handle 2, pumping the
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