摘要
目的:观察高度近视眼并发白内障超声乳化联合人工晶状体植入术的临床特点和效果。方法:81 例89眼高度轴性近视眼白内障行超声乳化术,36眼植入 Pharmacia812C 人工晶状体,38眼植入 Acrysof 折叠式人工晶体状,15眼未植入人工晶状体。结果:87眼(98％)成功环形撕囊,3眼(3.4％)虹膜损伤,2眼(2.2％)后囊膜破损,术后角膜水肿5眼(5.6％),术后半年后发障人工晶体植入眼明显低于未植入眼(P<0.01),术后一周裸眼或矫正视力 ≥0.5者,Acrysof 组高于 Phar-macia组(P<0.05),术后一月裸眼或矫正视力≥0.5植入人工晶体组高于未植入组(P<0.05)。结论:高度轴性近视眼在表麻下行颞侧角膜透明切口的白内障超声乳化联合折叠式人工晶体植入术具有手术简便,快捷,安全,术后视力恢复快而稳定等特点,是理想的复明手术和屈光性晶状体手术,患者应尽早手术。
Objective:To evaluate the clinical refractive results of phacoemulsification and intraocularlens implantation in high myopia .Methods: 81 cases (89 eyes) of high myopia were undergone phacoe-mulsification in whom 36 cases with pharmacia 812C nonfoldable IOL implantation,38 cases with Acrysoffoldable IOL and 15 cases without implantation. Results: 87 eyes succeed .There were iris injury in 3 eyes(3.4%), posterior capsular rupture in 2 cases (2.2%) and postoperative corneal edema in 5 caese(5.5%). Half year later, the incidence of postoperative secondary cataract in implanted eyes was signifi-cantly lower than unimplanted eyes. At one weak after operation, in patients with bare eye or correct visualacuity of 0.5 Acrysof group was more than Pharmacia group, and at one month after operation, implantesgroup was more than aphakia group .Conclusion: Under topical anesthesia, the transtemperal side clearcorneal tuneal phacoemulsification with implantation of foldable IOL is a more safe, simple and with goodfacility for patients with high myopia.
