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目的观察白内障超声乳化摘除加人工晶体植入治疗高度近视合并白内障的临床效果。方法对我院2004年1月～2008年12月收治的48例94眼高度近视合并白内障行巩膜隧道白内障超声乳化摘除加人工晶体植入术。结果视力恢复情况:本组术后1周视力<0.10 5眼,0.10～0.30 38眼,0.40～0.60 27眼,>0.60 24眼;术后1个月和3个月视力均为<0.10 4眼,0.10～0.30 37眼,0.40～0.60 27眼,>0.60 26眼。术中并发后囊破裂2眼(2.13%),但破口较小,人工晶体正常植入到囊袋内。无玻璃体脱出及暴发性脉络膜下出血。术后早期出现角膜水肿16眼(17.02%),经局部应用地塞米松及妥布霉素治疗后2～7 d水肿基本消退;出现不同程度后囊混浊4眼(4.26%),但均对视力无大影响,未做处理。结论白内障超声乳化摘除加人工晶体植入术治疗高度近视合并白内障患者是一种安全、有效的方法。
Objective To observe the clinical effect of phacoemulsification combined with intraocular lens implantation in the treatment of high myopia and cataract. Methods Forty-eight patients (94 eyes) with high myopia and scleral tunnel cataract who underwent scleral tunnel phacoemulsification and intraocular lens implantation were enrolled in our hospital from January 2004 to December 2008. Results Visual acuity recovery: Visual acuity was less than 0.105 eyes, 0.10-0.30 eyes 38 eyes, 0.40 ~ 0.60 eyes 27 eyes> 0.60 eyes 24 eyesight at 1 week after surgery. The visual acuity was <0.10 4 eyes at 1 month and 3 months after operation , 0.10 ~ 0.30 37 eyes, 0.40 ~ 0.60 27 eyes,> 0.60 26 eyes. Posterior capsular rupture occurred in 2 eyes (2.13%), but the incision was smaller and the intraocular lens was implanted into the capsular bag normally. No vitreous prolapse and fulminant subchondral hemorrhage. There were 16 eyes (17.02%) with corneal edema in the early postoperative period. Edema disappeared 2 ~ 7 days after local application of dexamethasone and tobramycin. There were 4 eyes (4.26%) with varying degree of posterior capsule opacity, No major visual acuity, no treatment. Conclusion Cataract phacoemulsification combined with intraocular lens implantation in patients with high myopia and cataract is a safe and effective method.