国际眼科杂志2011，Vol.11Issue(5)：753-756,4.DOI:10.3969/j.issn.1672-5123.2011.05.001
两种手法小切口白内障手术视觉结果比较
Visual outcome of manual small-incision cataract surgery: comparison of modified Blumenthal and Ruit techniques
摘要
Abstract
AIM: To compare the efficacy and visual results of the modified Blumenthal and Ruit techniques for manual small-incision cataract surgery (MSICS).METHODS: This was a prospective, non-randomized comparison of 129 patients with senile cataracts scheduled to undergo routine cataract surgery via either a superior scleral tunnel incision, i.e., the Blumenthal technique (group 1, n=64) or a temporal scleral tunnel incision, i.e., the Ruit technique (group 2,n=65). MSICS and intraocular lens implantation were performed through an unsutured 6.5-to 7.0-mm scleral tunnel incision. Uncorrected and corrected visual acuity, intraoperative and postoperative complications, and surgically induced astigmatism calculated by simple subtraction were compared. Patients were examined 1 day, 1 week, 1 month, and 3 months after surgery.RESULTS: Both groups achieved good visual outcomes with minor complications. Three months after surgery, the corrected visual acuity was 0.73 in the Blumenthal group and 0.69 in the Ruit group (P=0.29). The average (SD) postoperative astigmatism was 0.87 (0.62) diopter (D) for the Blumenthal group and 0.86 (0.62) D for the Ruit group. The mean (SD) surgically induced astigmatism was 0.55 (0.45) D and 0.50 (0.44) D for the Blumenthal and Ruit groups, respectively (P=0.52). Common complications were minimal hyphema and corneal edema. There was no statistically significant difference in the complication rate between the groups (P>0.05).CONCLUSION: In MSICS, both the Blumenthal and Ruit techniques achieve good visual outcomes, with low complication rates.关键词
白内障手术/小切口白内障手术/散光/并发症/视力/Blumenthal方法/Ruit方法Key words
cataract surgery/small-incision cataract surgery/astigmatism/complication/visual acuity/Blumenthal technique/Ruit technique引用本文复制引用
Pipat Kongsap..两种手法小切口白内障手术视觉结果比较[J].国际眼科杂志,2011,11(5):753-756,4.基金项目
Supported by Research and Developmental Fund,Prapokklao Hospital,Thailand(No.0011) （No.0011）
泰国Prapokklao 医院科研基金资助项目(No.0011) （No.0011）
