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对31例(38只眼)眼轴超过26mm的高度近视白内障施行囊外摘出一期后房型人工晶体植入术。经随访,裸眼视力>0.5者占65.8％;近视力>0.5者占86.8％;矫正视力>1.O者占52.6％。结果表明高度近视患行的白内障,若术前测定视网膜视力>0.5者,施行囊外摘出及人工晶体植入术后,获得正常视力是可能的。文中介绍了人工晶体度数的选择和手术方法,并对手术适应证和并发症的处理作了阐述。
Thirty-one patients (38 eyes) with a high degree of myopia with an axial length of more than 26 mm underwent extracapsular cataract extraction and posterior chamber intraocular lens implantation. After follow-up, uncorrected visual acuity> 0.5 accounted for 65.8%; near visual acuity> 0.5 accounted for 86.8%; corrected visual acuity> 1.O accounted for 52.6%. The results show that cataract in patients with high myopia, retinal visual acuity> 0.5 preoperative determination, the implementation of extracapsular extraction and intraocular lens implantation, to obtain normal vision is possible. This article describes the choice of intraocular lens and surgical methods, and surgical indications and complications of treatment are described.