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目的探讨小切口白内障囊外摘除人工晶状体植入术治疗高度近视眼并发白内障的临床效果。方法 83例(109只眼)高度近视眼并发白内障患者采用小切口白内障囊外摘除人工晶状体植入术,观察术中、术后并发症及术后视力恢复情况。结果术后矫正视力>0.2者98只眼(89.9%),>0.5者76只眼(69.7%);术中后囊膜破裂8例,术后角膜水肿12只眼,一次性高眼压2只眼,后发障28只眼,术后发现黄斑变性3只眼。结论小切口白内障囊外摘除人工晶状体植入术治疗高度近视眼并发白内障,术中、术后并发症少,术后患眼视力恢复好,且对手术设备要求不高,适应于基层医院开展。
Objective To investigate the clinical effect of small incision extracapsular cataract extraction with intraocular lens implantation for cataract in high myopia. Methods 83 cases (109 eyes) of high myopia with cataract were treated with small incision extracapsular cataract extraction and intraocular lens implantation. Intraoperative and postoperative complications and postoperative visual acuity recovery were observed. Results Postoperative corrected visual acuity> 0.2 in 98 eyes (89.9%),> 0.5 in 76 eyes (69.7%); postoperative rupture of the posterior capsule in 8 cases, postoperative corneal edema 12 eyes, one time intraocular hypertension 2 Only eyes, 28 after posterior capsulitis, macular degeneration found after 3 eyes. Conclusion Small incision extracapsular cataract extraction with intraocular lens implantation for high myopia complicated cataract, intraoperative and postoperative complications less, good recovery of visual acuity after surgery, and less demanding on surgical equipment, adapted to the primary hospital.