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目的 分析高度近视白内障行超声乳化摘除及人工晶体植入术的疗效。方法 对眼轴≥ 2 6 m m的 36例 (5 3眼 )采用原位碎核法行超声乳化摘除及人工晶体植入术 ,平均随访 10 .5个月。结果 术后矫正视力≥ 0 .5者占 6 0 .38% ,脱盲率为 92 .85 % ,脱残率为 75 .47%。结论 高度近视白内障超生乳化摘除及人工晶体植入术 ,效果满意。影响术后视力主要原因为高度近视所致眼底病 ,后囊破裂是造成术后视网膜脱离最危险因素。
Objective To analyze the effect of phacoemulsification and intraocular lens implantation in cataract with high myopia. Methods Thirty-six cases (53 eyes) with axial length ≥ 26 m were treated with phacoemulsification and intraocular lens implantation (IMRT). The average follow-up was 10.5 months. Results Postoperative corrected visual acuity ≥0.5 accounted for 60.38%, the blindness rate was 92.85%, the disability rate was 75.47%. Conclusion High myopia cataract phacoemulsification and intraocular lens implantation, with satisfactory results. The main reason for postoperative visual acuity is fundus disease caused by a high degree of myopia, posterior capsular rupture is the most risk factors for postoperative retinal detachment.