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目的探讨小瞳孔白内障超声乳化手术的操作经验及疗效。方法23例23只眼小瞳孔白内障3~4级核病人纳入观察其中男性13例女性10例年龄53~78岁全部患者瞳孔都小于4mm且药物不能散大有5例虹膜后粘连一律采用爱尔康laureate型超乳机蠕动泵超声乳化摘除术中灵活掌控流量、负压和能量参数并借助辅助器械和粘弹剂完成每一个关键动作术后随访1~3个月观察视力、瞳孔、眼压、眼底、人工晶体位置等情况以末次随访为疗效判定时间点。结果手术后视力达0.6以上者16只眼0.4~0.5者5只眼0.2和0.1各1只眼眼压低于10mmhg者1只眼后发障1只眼黄斑囊样水肿1只眼囊袋内人工晶体脱入睫状沟1只眼。结论只要术者在术中充分运用自己的临床经验谨慎操作在辅助器械及粘弹剂的帮助下小瞳孔白内障超乳手术一样能获得成功。

小瞳孔超声乳化白内障摘除23例临床分析