Objective To analyze the effect of phacoemulsification and extracapsular cataract extraction on corneal endothe-lium in patients with hard cataract. Methods 50 cases of patients with hard cataract treated from March 2013 to March 2015 were divided into two groups with 25 cases in each, the control group were treated with extracapsular cataract extrac-tion, the observation group were treated with phacoemulsification, the curative effects of the two groups were compared. Re-sults Patients in the observation group whose naked vision reached 1.0 eye numbers were more than those in the control group; the difference in the edema number was not obvious, and both groups had not severe complications of posterior cap-sular rupture and suspension ligament rupture, the endothelium cell loss ratio in the observation group was higher than that in the control group. Conclusion The patients undergoing phacoemulsification has a better naked vision function recovery effect and can used to treat the patients with hard cataract.%目的 分析硬核性白内障行超声乳化术与现代囊外摘除术对角膜内皮的影响.方法 随机选取2013年3月—2015年3月该院收治的50例硬核性白内障患者采用现代囊外摘除术治疗(对照组25例)和超声乳化术治疗(观察组25例),对比两组患者的疗效.结果 观察组裸眼视力达到1.0眼数多于对照组;水肿人数差异无统计学意义,且均未出现后囊膜破裂、悬韧带断裂等严重并发症;观察组角膜内皮细胞丢失率高于对照组. 结论 超声乳化术后患者裸眼视力功能恢复效果更好,可用于硬核性白内障患者治疗.
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