【摘要】 目的 探讨经巩膜隧道切口无缝线手法碎核白内障摘除人工晶体植入术的疗效。 方法 对42例(46眼)老年性白内障施行无缝线手法碎核白内障摘除人工晶体植入术，并与同期50例51眼现代囊外摘除人工晶体植入术对比。 结果 碎核组术后1周、2周、1个月裸眼视力≥0.5的眼数分别为38眼(82.61%)，40眼(86.96%)，41眼(89.13%)。术后第1天和1个月，32眼(69.56%)和43眼(93.48%)的术眼矫正视力≥0.5。无严重并发症。碎核组术后视力及矫正视力均高于对照组(P<0.05)。 结论 巩膜隧道切口无缝线手法碎核白内障摘除人工晶体植入术，操作简便、安全，手术效果良好、稳定，适应证广泛，投入费用少，且此术式手术切口小，患者短时间内可以获得最佳视力，是一种白内障复明较为理想的术式。

    关键词 巩膜隧道切口 非超声乳化白内障摘除术 人工 晶体

    Clinical observation of extraction cataract extracapsularia with intraocular lens implantation through sclera tunnel sutureless incision without phacoemulsification

    Zhao Yumin，Mu Li

    Department of Ophthalmology，Affiliated Hospital of Xuzhou Medical College，Jiangsu221002.

    【Abstract】 Objective To compare the effect of extraction cataract extracapsularia(ECCE)with intraocular lens(IOL)implantation through sclera tunnel sutureless incision and the routine large incision.Methods The ECCEwith IOL implantation was performed through a3～6mm sclera incision and was compared with routine large incision.Results Af-ter observed1day ......