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目的:观察高度近视眼并发白内障超声乳化联合人工晶状体植入术的临床特点和效果。方法:81 例89眼高度轴性近视眼白内障行超声乳化术,36眼植入 Pharmacia812C 人工晶状体,38眼植入 Acrysof 折叠式人工晶体状,15眼未植入人工晶状体。结果:87眼(98％)成功环形撕囊,3眼(3.4％)虹膜损伤,2眼(2.2％)后囊膜破损,术后角膜水肿5眼(5.6％),术后半年后发障人工晶体植入眼明显低于未植入眼(P<0.01),术后一周裸眼或矫正视力 ≥0.5者,Acrysof 组高于 Phar-macia组(P<0.05),术后一月裸眼或矫正视力≥0.5植入人工晶体组高于未植入组(P<0.05)。结论:高度轴性近视眼在表麻下行颞侧角膜透明切口的白内障超声乳化联合折叠式人工晶体植入术具有手术简便,快捷,安全,术后视力恢复快而稳定等特点,是理想的复明手术和屈光性晶状体手术,患者应尽早手术。
Objective: To observe the clinical features and effects of cataract phacoemulsification combined with intraocular lens implantation in high myopia. Methods: Phacoemulsification was performed in 81 eyes (89 eyes) with high axial myopia. Thirty-six eyes were implanted with Pharmacia812C intraocular lens. Acrysof foldable intraocular lens was implanted in 38 eyes and 15 eyes were not implanted intraocular lens. RESULTS: The posterior capsulotomy was successful in 87 eyes (3%), 3 eyes (3.4%) iris injury, 2 eyes (2.2%) posterior capsular rupture and 5 eyes (5.6%) postoperative corneal edema. The intraocular lens implantation was significantly lower than that of the non-implantation eyes (P <0.01). One week after the open or corrected visual acuity ≥ 0.5, the Acrysof group was higher than the Phar-macia group (P <0.05) Visual acuity ≥ 0.5 Intraocular lens implantation group than the non-implanted group (P <0.05). CONCLUSIONS: High axial myopia with phacoemulsification and temporal fold corneal incision under epidermal anesthesia is an ideal method for phacoemulsification and foldable intraocular lens implantation. It has the advantages of simple, quick and safe operation, rapid and stable recovery of visual acuity after operation Surgery and refractive lens surgery, patients should be as soon as possible surgery.