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屈光性白内障手术:白内障手术新理念
现代白内障手术不仅是为了使患者看得见,更是为了使患者获得良好的视觉质量.白内障手术技术和人工晶状体的发展推动了白内障手术理念的发展.白内障手术正在由传统的复明手术向屈光性手术发展."屈光性白内障手术"(refractive cataract surgery)--这一白内障手术新理念应运而生.
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青光眼联合白内障手术的效果观察与护理配合
青光眼、白内障是我国主要致盲眼病之一,多见于老年人.随着人口老龄化的发展,青光眼合并白内障的病人发病率也显著增加.白内障超声乳化植入人工晶体有切口小、组织损伤少的优点,同时联合小梁切除术,能够保持青光眼术后滤过泡的功能[1],故对青光眼合并白内障的病人施行联合术,可减少手术次数及病人痛苦,减轻病人经济负担,达到恢复视功能的佳效果,且并发症的发生率低于单纯的白内障囊外摘除联合小梁切除术.这一点已由Ducousso [2]证实.联合术式已在我院临床实施,取得满意效果.现报告如下.
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托百士滴眼液在白内障术前的应用效果
探讨托百士滴眼液在白内障手术前的抗菌效果,随机选择了88例(88眼)白内障患者在术前应用托百士滴眼液三天后观察其结膜囊细菌培养变化,并挑选58例(58眼)白内障患者常规使用0.25%氯霉素滴眼液作为对照组.细菌培养结果:未用药前,试验组88眼细菌培养有43眼(48.86%)培养出细菌,主要为葡萄球菌,对照组58眼中亦有26眼(44.8%)细菌培养阳性,用药后再作细菌培养,试验组仅3眼(3.4%)仍培养出细菌,而对照组则仍有1 6眼(27.58%)培养出细菌,二者统计学处理差异有显著性(P<0.05),我们观察结果表明:托百士滴眼液可做为白内障术前杀灭结膜囊细菌,防止眼内感染的有效药物.Application of TOBREX (Tobramycin 0.3%) before cataract surgery
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手法小切口应用囊袋张力环治疗晶状体半脱位
我科采用手法小切口白内障手术(manual small incision cataract surgery,MSICS)联合应用晶状体囊袋张力环治疗晶状体半脱位患者11例,报告如下.
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Purpose:To assess the efficacy of vitrectomy combined with intravitreal injection in the treatment of endophthalmitis after phacoemulsification and IOL implantation.Methods:Five patients (5 eyes),who had undergone conventional phacoemulsification combined with IOL implantation at another treatment facility,presented with endophthalmitis.The subjects ranged in age from 41 to 79 years (65.8±0.5years on average),and three were male.All five cases received bacterial culture susceptibility testing.On the basis of the treatment of primary disease,3 cases had anterior chamber irrigation,and posterior vitrectomy followed by intravitreal injection of 1 mg vancomycin plus 2.25 mg ceftazidime.Results:Four out of the five cases of endophthalmitis had a positive bacterial culture testing results (two cases of staphylococcus epidermidis,one case of enterococcus faecalis and one case of head-like staphylococcus),and the remaining case had no bacterial growth.Four cases showed restored visual acuity,clear vitreous cavity,and no retinal detachment or other complications.Conclusion:Management of patients presenting with endophthalmitis subsequent to cataract surgery should include:prompt bacterial culture and drug sensitivity tests,and where appropriate,vitrectomy combined with intravitreal injection of vancomycin.
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Overhanging glaucoma filtration bleb related to cataract surgery