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目的观察冷超乳联合折叠型人工晶体植入术治疗高度近视合并白内障的疗效,探讨手术并发症的原因与处理方法。方法对24例(26只眼)高度近视合并白内障实施冷超乳联合折叠型人工晶体植入术,观察术中术后并发症、术前术后视力变化、屈光度数的情况。术后随访3月至1年。结果术后第1天,矫正视力≥0.5者12只眼(46.1%);术后l周,矫正视力≥0.5者17只眼(65.3%);术后3个月,矫正视力≥0.5者20只眼(76.9%)。有2只眼视力无提高。术中后囊膜破裂2只眼,术后角膜水肿3只眼,后囊膜混浊4只眼。结论冷超乳联合折叠型人工晶体植入术治疗高度近视合并白内障具有视力恢复快、手术并发症少等优点,但要求较高的手术操作技巧。
Objective To observe the effect of cold phacoemulsification combined with foldable intraocular lens implantation in the treatment of high myopia and cataract and to explore the causes and treatment of surgical complications. Methods 24 cases (26 eyes) of high myopia with cataract were treated with cold phacoemulsification and foldable intraocular lens implantation. The intraoperative and postoperative complications, visual acuity and refractive power were observed. Follow-up 3 months to 1 year after operation. Results On the first day after operation, 12 eyes (46.1%) had corrected visual acuity ≥ 0.5; 17 eyes (65.3%) had corrected visual acuity ≥ 0.5 after one week; 3 months after operation, corrected visual acuity ≥ 0.5 20 Eye (76.9%). No visual acuity in 2 eyes. Posterior capsular rupture in 2 eyes, postoperative corneal edema in 3 eyes, posterior capsular opacity in 4 eyes. Conclusion Cold phacoemulsification combined with foldable intraocular lens implantation for the treatment of high myopia and cataract has the advantages of fast visual recovery, fewer complications and less surgery, but requires higher operation skills.