高度近视白内障超声乳化摘出及人工晶状体植入术

Phacoemulsification with intraocular lens implantation for cataract with high myopia.

目的 评价高度近视白内障超声乳化摘出及人工晶状体植入术的临床疗效。方法 对眼轴 >2 6 .5mm的 2 8例(38眼 )高度近视并发白内障患者 ,其中Ⅱ级核 10眼 ,Ⅲ级核 2 0眼 ,Ⅳ级核 8眼 ,施行超声乳化及人工晶体植入术。结果 术后1月视力≥ 0 .5者 2 7眼 (71 1% )。并发症主要包括后囊破裂 2眼 (5 3 % ) ,角膜水肿 6眼 (15 8% )。眼轴 >30mm组 ,视力效果不及眼轴 2 6 5～ 30mm组。高度近视合并视网膜病变是引起白内障术后视力恢复差的主要原因。结论 超声乳化白内障摘出及人工晶状体植入术 。

Objective To assess the therapeutic effect of phacoemulsification with intraocular lens implantation for cataract with high myopia. Methods Phacoemulsification with IOL implantation was done on 28 cases(36 eyes) suffered from complicated cataract and high myopia with long axial length (>26.50 mm).The nucleus hardness was grade Ⅱ in 10 eyes.grade Ⅲ in 20 eyes,grage Ⅳ in 8 eyes. Results Postoperatively,the uncorrected or corrected visual acuity 0.5 or better at 1 month was in 27 eyes(71.7%).The eyes with the axial lengths over 30 mm,the recovery of the visual acuity was less satisfactory.Conclusions The phacomulsification with intraocular lens implantation is an utiable technique for cataract patient with high myopia.