高度近视白内障超声乳化摘除

EFFECT OF PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANTATION FOR CATARACT WITH HIGH MYOPIA

目的 总结高度近视白内障超声乳化摘除及人工晶体植入的临床经验 ,分析术后视力的影响因素。方法 对眼轴大于 2 6mm的 10 5例 12 1只眼高度近视白内障患者施行超声乳化摘除及人工晶体植入术。结果 术后一个月矫正视力≥ 0 .5者 6 7眼 ,占 5 5 .4% ,0 .1～ 0 .4者 49眼 ,占 40 .5 % ,<0 .1者 5眼 ,占 4%。术中及术后并发症一般较少。眼底病变是影响术后视力恢复最重要的因素。结论 本方法用于高度近视白内障患者具有视力恢复快、并发症少等优点。

Objective To assess the therapeutic effect of phacoemulsification with intraocular lens (IOL)implantation for cataract with high myopia and analyze the factors affecting postoperative sisual acuity.Methods Phacoemulsification with IOL implantation for cataract was done on 105 cases (121 eyes) suffered from complicated cataract and high myopia with axial length>26mm.Results At one month after operation,67 eyes (55.4%) got corrected visual acuity of 0.5 or better,49 eyes (40.%)got visual acuity from 0.1 to 0.4,only 5 eyes (4%)got visual acuity less than 0.1 .Either intraoperative complication or postoperative complication was little.Conclusion Phacoemulsification with IOL implantation,which brings satisfactory postoperative visual acuity and little complication,is suitable for the patients with complicated cataract and high myopia.Attention should be paid to the effect of psychological factor of the patient on the prognosis. \ \