| Objective To investigate the effects of eye fixation and target pupil dilation on reducing postoperative complications in the elderly patients with cataract. Methods From Apr 2014 to Jul 2015, two hundred cases of elderly patients with cataract ever treated in our hospital were collected, and randomly divided into the observation group and the control group, 100 cases in each group. Before cataract operation, patients in the control group were given routine nursing, while the observation group was treated with additional eye fixation and target pupil dilation except for routine nursing. The intraocular pressure (IOP), visual acuity, postoperative complications and nursing satisfaction between the two groups were observed and compared. Results The satisfaction scores of the observation group were significantly higher than those of the control group (80.61±6.62 vs 63.22±12.83, P=0.03). Both groups indicated heavily reduced IOP after nursing, and the observation group decreased more significantly (P=0.03); the postoperative visual acuity increased largely in the observation group, with significant difference in comparison with the increase in the control group (P=0.04). The complications occurred in the observation group (3 cases, 3%) were also significantly lower than those in the control group (10 cases, 10%, P=0.01). Conclusion In the elderly patients, the intervention of eye fixation and target pupil dilation before cataract surgery may be helpful to improve the degree of clinical efficacy and satisfaction, which is worthy of clinical promotion. |
