高度近视并发白内障患者行超声乳化术126例临床分析

Clinical analysis on phacoemulsification in 126 cases with high myopia and cataract

目的观察高度近视并发白内障患者行超声乳化摘出及人工晶状体植入术的临床疗效。方法对126例(186眼)眼轴>26.00 mm的高度近视并发白内障患者施行巩膜隧道切口超声乳化摘出及人工晶状体植入术,随访5～19个月,记录术中、术后并发症,并观察患者术后视力及屈光状态变化。结果术后1个月裸眼视力≥0.5者115眼(61.83%),矫正视力≥0.5者130眼(70.06%),随访期内视力稳定。术后3个月患者平均屈光度为(-1.14±0.87)D。术中虹膜损伤8眼,后囊破裂6眼。术后5眼中度后囊混浊,1眼术后18个月发现孔源性视网膜脱离,行巩膜外垫压术后治愈。结论高度近视并发白内障行超声乳化摘出及人工晶状体植入术,能够有效提高患者视力,手术安全,疗效可靠。

Objective To investigate the clinical efficacy of phacoemulsification combined with intraocular lens（IOL） implantation in high myopia patients with cataract.Methods A total of 126 high myopia patients with cataract（186 eyes）,whose axial length was more than 26.00 mm,were treated with phacoemulsification through scleral tunnel incision and IOL implantation.All patients were followed up for 5 months to 19 months.Intraoperative and postoperative complications were recorded,changes of postoperative visual acuity and dioptor were observed.Results At postoperative 1 month,naked visual acuity be and more than 0.5 was in 115 eyes（61.83%）,and correted visual aciuty be and more than 0.5 was 130 eyes（70.06%）.At the following up time,visual acuity was stable,the average diopter was（-1.14±0.87）D at postoperative 3 months.There were 8 eyes with iris injury and 6 eyes with posterior capsule rupture intraoperatively,5 eyes with medium posterior capsule opacification postoperatively,1 eye with rhegmatogenous detachment of retina at postoperative 18 months and cured after padding surgery out of scleral.Conclusion Phacoemulsification and IOL implantation is safe,effective,reliable and can improve visual acuity for high myopia patients with cataract.