高度近视白内障超声乳化人工晶状体植入术27例

Cataract phacoemulsification combined intraocular lens implantation in 27 high myopia cases

目的:探讨高度近视眼合并白内障行超声乳化白内障吸除人工晶状体植入术治疗的临床疗效。方法:27例(37眼)因白内障合并高度近视行超声乳化白内障吸除+人工晶状体植入术。记录术前眼轴长度和术后视力,屈光度数,观察手术并发症术后眼部情况。术后随访时间为6～24mo。结果:术前平均眼轴长度为28.3mm。术后最佳矫正视力≥0.2共35眼(95%),≥0.5者共33眼(89%)。术中无后囊膜破裂;术后角膜水肿2眼,术后一过性高眼压1眼,后发性白内障2眼;术后发现黄斑变性和眼底出血共4例,无视网膜和脉络膜脱离者。结论:超声乳化白内障吸除低度数折叠式人工晶状体植入术是治疗白内障合并高度近视眼安全、有效的方法。

AIM： To evaluate the clinical effect of phacoemulsifi-cation and IOL implantation for cataract with high myopia. METHODS： Twenty-seven cases （37 eyes） of cataract with high myopia accepted phacoemulsification and IOL implantation. Preoperative axial length, postoperative visual acuity and refractive error were recorded. Intraoperative and postoperative complications were observed. The follow-up time was from 6 to 24 months. RESULTS： The mean preoperative axial length was 28. 3mm. Best corrected visual acuity reached 0.2 or better in 35 eyes （95%） and 0.5 or better in 33 eyes （89%）. None eye had posterior capsule rupture. Corneal edema was found in 2 eyes and ocular hypertension was found in 1 eye on the first day after the surgery. Two eyes developed after cataract. Macular degeneration and retinal hemorrhage were found on 4 cases after the surgery. No retinal or choroid detachment. CONCLUSION： It is safe and effective for high myopia with cataract to implant folding intraocular lenses after phacoemulsification.