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首页> 外文期刊>British journal of ophthalmology >Visual outcome after high volume cataract surgery in Pakistan.
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Visual outcome after high volume cataract surgery in Pakistan.

机译：巴基斯坦大容量白内障手术后的视觉结果。

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Aim: To determine the visual outcome and factors influencing visual outcome after cataract surgery in an urban charity hospital in Pakistan. METHODS: A series of selected outpatients were examined who had undergone cataract surgery in the preceding 24 months. RESULTS: 181 patients aged 45-82 years were examined. The type of cataract operations they had had were extracapsular cataract extraction (ECCE) only in 50% (91), phacoemulsification (phaco) only in 11% (20), ECCE with intraocular lens (IOL) in 17% (31), and phaco with IOL in 22% (39). At presentation, 49.7% (90) had poor functional vision; after refraction 68% (123) had a good visual outcome. Functional vision in eyes undergoing ECCE with IOL was good in 77% (22) and with phaco with IOL in 71.8% (28). After refraction a higher proportion of eyes with IOL surgery (93%) had a good outcome than those with non-IOL surgery (53%). Uncorrected refractive error, present in 75.5% (68), was the commonest cause of poor functional vision. CONCLUSION: This study demonstrates that it is possible to obtain good results with IOL surgery in the developing world. Increasing cataract surgery with IOL implantation should reduce the number of eyes with poor functional vision after cataract surgery. More attention should be directed towards ensuring that successful outcomes are indeed being realised by continued visual monitoring postoperatively.
机译：目的：确定巴基斯坦城市慈善医院白内障手术后的视觉结果和影响视觉结果的因素。方法：对在前24个月内接受过白内障手术的一系列门诊患者进行检查。结果：检查了181例45-82岁的患者。他们进行的白内障手术类型包括：仅50％的囊外白内障摘除术（ECCE）（91），仅11％的白内障超声乳化术（phaco）（20），仅17％的ECCE和人工晶状体（IOL）（31），以及晶状体与人工晶体的比例为22％（39）。介绍时，有49.7％（90）的功能性视力不良;屈光后68％（123）的视力良好。使用IOL进行ECCE的眼睛的功能性视力良好（77％）（22），使用超声乳化镜进行IOL的眼睛的视力良好率为71.8％（28）。屈光后，比非IOL手术（53％）有更高比例的IOL手术（93％）具有良好的预后。未矫正的屈光不正（占75.5％[68]）是功能性视力差的最常见原因。结论：这项研究表明，在发展中国家，人工晶状体手术有可能获得良好的效果。人工晶状体植入术增加白内障手术应减少白内障手术后功能性视力较弱的眼睛数量。应更多地注意确保通过术后持续的视觉监测确实实现成功的结果。

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