白内障术后视力低下相关因素分析.docVIP

白内障术后视力低下相关因素分析[摘要] 目的：了解白内障复明术后效果，探讨引起白内障患者术后视力低下的主要因素。方法：186例（208眼）白内障患者采用超声乳化白内障囊外摘除加人工晶体植入术，术后行直接、间接眼底镜检查，对眼底镜所见无法确诊的病例，则予以眼底荧光血管造影检查。结果：208眼，术后153眼视力恢复，占73.55%, 53眼视力低下，占26.45%。其中与手术有关致视力低下32眼，占15.38%，原有眼病所致视力低下21眼，占10.09%。结论：白内障术后视力低下与手术效果、术前原有的眼病和各种各样的病变均有很大的关系。 [关键词] 白内障术后；视力；相关因素 [中图分类号] R779.66 [文献标识码] B [文章编号] 1673-7210（2011）11（c）-175-03 Relevant factors analysis of poor vision after cataract surgery ZHANG Xiu Department of Ophthalmology, Ping’an Hospital of Xicheng District, Beijing 100035, China [Abstract] Objective: To know the effect of the cataract surgery, and to explore the main reason of visual acuity after cataract surgery. Methods: 186 cases of cataract patients (208 eyes) were treated by cataract phacoemulsification and extracapsular cataract extraction plus intraocular lens implantation, direct, indirect ophthalmoscopy were used after operation, ophthalmoscopy findings could not be confirmed cases used fundus fluorescein angiography. Results: 153 eyes were visual acuity after surgery (73.55%), 53 eyes were with poor vision (26.45%). 32 eyes were related with the cause of poor vision with surgery (15.38%), 21 eyes were due to low vision of the original eye disease (10.09%). Conclusion: Poor vision after cataract surgery have a great relationship with the surgery, preoperative eye disease and a variety of existing lesions. [Key words] Post cataractous operation; Vision; Relevant factors 白内障疾病高居我国致盲眼病的首位，自1999年起，我国启动了“视觉2020行动”，在我国贫困地区大规模开展白内障手术[1，9-10]。随着眼科显微手术的普及，以及高质量人工晶体（intraocular lens，IOL）的问世，白内障手术的实施获得了突破性的进展，但也存在多种影响患者术后视力恢复的因素，如原有眼部疾患（慢性青光眼、角膜白斑、陈旧性色素膜炎、高度近视、弱视及眼底病等）、手术操作问题、人工晶体质量及术后并发症等，常使患者术后视力恢复不尽如人意[2]。为了提高白内障患者术后视力，本研究分析了2001年1月~2008年3月我院收治的白内障患者术后视力低下的相关因素。现报道如下： 1 资料与方法 1.1 一般资料 本研究选取了2001年1月~2008年3月186例（208眼）患者。其中，男76例（87眼），女110例（121眼）；年龄40~90岁，平均68岁；高度近视4例（6眼）；术后发现2例（3眼）因高度近视而视网膜病变；糖尿病患者21例（31眼）；术后发现糖尿病视网膜黄斑病变3例（4眼）；黄斑变性2例（2眼）；高血压患者40例（60眼）；陈旧性视网膜病变2例（2眼）；视网膜色素变性1例（2眼）；术前青光眼3例（4眼）；术后1例眼压升高；陈旧性心梗