采用囊袋上超声乳化技术对 3 8例 (4 9眼 )眼轴 >2 6mm的高度近视白内障 ,行白内障摘除联合人工晶体植入术。结果如下 :术后 3 2只眼 (67.8% )裸眼视力 >0 .5,平均内皮细胞损失率为 8.2 7% ,超声能量平均为 2 4 .7% ,超声过程中破囊率为 2 .0 2 % ,乳化时间平均为 1分 0 7秒 ,无术后严重并发症。我们认为采用囊袋上超声乳化技术对高度近视白内障行超声乳化摘除 ,内皮细胞损失小、破后囊率低 ,手术安全、有效。 38 cases (49 eyes) of high myopia with cataract> 26 mm were treated with phacoemulsification and cataract extraction combined with intraocular lens implantation. The results were as follows: postoperative 32 eyes (67.8%) uncorrected visual acuity> 0.5, the average rate of endothelial cell loss was 8.27%, an average of 24.7% ultrasound energy, ultrasonic burst rate of 2.0 2%, the average emulsifying time of 1 minute 0 7 seconds, no serious postoperative complications. We believe that the use of capsular phacoemulsification for high myopia cataract phacoemulsification, endothelial cell loss, broken posterior capsule rate is low, safe and effective surgery.