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目的探讨高度近视合并白内障行超声乳化联合人工晶体植入术的临床疗效。方法回顾超声乳化联合人工晶体植入术治疗高度近视合并白内障(Ⅰ组)49例54眼,并与同期单纯老年性白内障(Ⅱ组)70例70眼对比,分析两组术中、术后并发症及术后3个月视力。结果术中后囊破裂,Ⅰ组6眼(11.11%),Ⅱ组6眼(8.57%),Ⅰ组发生率略高于Ⅱ组(P>0.05);术后黄斑囊样水肿,Ⅰ组4眼(7.41%),Ⅱ组2眼(2.85%),Ⅰ组发生率略高于Ⅱ组(P>0.05);术后3个月视力≥0.3,Ⅰ组28眼(51.85%),Ⅱ组57眼(81.43%),Ⅰ组比率明显低于Ⅱ组(P<0.01)。结论与单纯老年性白内障比较,高度近视合并白内障患者行超声乳化联合人工晶体植入术治疗同样是一种安全、有效的手术方法。
Objective To investigate the clinical effect of phacoemulsification combined with intraocular lens implantation in high myopia with cataract. Methods A total of 54 eyes (49 eyes) with high myopia and cataract (Ⅰ group) were treated with phacoemulsification combined with intraocular lens implantation. Compared with 70 cases with 70 eyes of simple age-related cataract (Ⅱ group) in the same period, the intraoperative and postoperative complications Symptoms and visual acuity after 3 months. Results The posterior capsule ruptured in 6 eyes (11.11%) in group Ⅰ and 6 eyes (8.57%) in group Ⅱ, the incidence of group Ⅰ was slightly higher than that of group Ⅱ (P> 0.05) (7.41%) in group Ⅱ and 2 eyes (2.85%) in group Ⅱ, the incidence of group Ⅰ was slightly higher than that of group Ⅱ (P> 0.05), the visual acuity was 0.3 at 3 months, 28 eyes (51.85%) of group Ⅰ, 57 eyes (81.43%), the rate of group Ⅰ was significantly lower than that of group Ⅱ (P <0.01). Conclusions Compared with simple senile cataract, phacoemulsification combined with intraocular lens implantation in patients with high myopia and cataract is also a safe and effective surgical method.