超声乳化术与小切口囊外摘除术治疗白内障患者的疗效及对角膜内皮细胞及生存质量的影响

Objective: To investigate the efficacy of phacoemulsification and small incision extracapsular cataract extraction in the treatment of cataract and their effects on corneal endothelial cells and quality of life. Methods: 203 patients with cataract who were treated in our hospital from March 2015 to June 2017 were selected, according to the random number table method, the patients were divided in­to the control group with 103 cases and the observation group with 100 cases. The control group was treated with small incision extracap­sular cataract extraction, and the observation group was treated with phacoemulsification. The visual acuity of all patients was measured before operation, 1 weeks after operation, 1 months after operation and 3 months after operation. The number of corneal endothelial cells was measured before and 2 weeks after operation, and the cell density and hexagonal cell ratio were calculated. The quality of life was evaluated before and 1 months after operation, and the complications were recorded. Results: There was no significant difference in visual acuity between the two groups before operation, 1 months after operation and 3 months after operation (P>0.05), the visual acuity of the observation group was significantly higher than that of the control group 1 week after the operation (P<0.05). At 2 weeks after operation, the cell density and hexagonal cell ratio of the two groups were decreased, and the cell density of the control group was lower than that of the observation group(P<0.05). There was no significant difference in scores of self-care ability, activity ability, social ability and psycho­logical emotion between the two groups before and 1 months after operation(P>0.05), the scores of self-care ability, activity ability, social ability and psychological emotion in the two groups 1 months after operation were higher than those before operation(P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: Compared with small incision extracapsular cataract extraction, phacoemulsification can improve the vision of patients faster in the short term, and it has less damage to the corneal endothelial cells, however, the short-term effects and complications of the two operations are basically the same, and there is no difference in the quality of life of the patients. [ABSTRACT FROM AUTHOR]