论文部分内容阅读
目的 观察高度近视患者白内障超声乳化摘出及人工晶状体植入术的疗效。方法 本组高度近视白内障患者(眼轴26.05～33.87mm)62例(65只眼),采用巩膜隧道切口及原位超声乳化(分而治之或拦截甓裂法)吸出,囊袋内植入硬质人工晶状体。结果 术後3天矫正视力≥0.5者29只眼(44.62％),0.2～0.4者31只眼(47.69％),≤0.1者5只眼(7.69％)。术後1个月矫正视力≥0.5者41只眼(63.08％),0.2～0.4者20只眼(30.77％),≤0.1者4只眼 (6.15％)。并发症为虹膜损伤(1.54％)、後囊破裂(3.07％)及角膜水肿(30.76％)。结论 白内障超声乳化联合後房人工晶状体植入术适合高度近视白内障,并能获得良好的手术效果。
Objective To observe the effect of phacoemulsification and intraocular lens implantation in cataract patients with high myopia. Methods 62 patients (65 eyes) with cataract with high myopia (axial length 26.05 ~ 33.87mm) underwent scleral tunnel incision and in situ phacoemulsification (divide and rule or intercept and chisel method), and the capsular bag was implanted with hard artificial Lens. Results On the 3rd postoperative day, 29 eyes (44.62%) had visual acuity ≥0.5, 31 eyes (47.69%) with 0.2 ~ 0.4 eyes, and 5 eyes (7.69% ≤0.1 eyes). There were 41 eyes (63.08%) with corrected visual acuity≥0.5 at 1 month after operation, 20 eyes (30.77%) with 0.2 ~ 0.4 eyes, and 4 eyes (6.15%) ≤0.1 eyes. Complications were iris damage (1.54%), posterior capsular rupture (3.07%) and corneal edema (30.76%). Conclusion Cataract phacoemulsification combined with posterior chamber intraocular lens implantation for cataract with high myopia, and can obtain good surgical results.