老年人高度近视并发白内障超声乳化及人工晶体植入术

PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANTATION FOR CATARACT ON SENILE PATIENTS WITH HIGH MYOPIA

目的 :评价对老年高度近视并发白内障实施超声乳化及人工晶体植入术的临床疗效。方法 :38例 (47眼 )老年人高度近视并发白内障 (6 0～ 76岁 ) ,施行白内障超声乳化及人工晶体植入术。其中Ⅰ级核 5只眼 ,Ⅱ级核 17只眼 ,Ⅲ级核 2 5只眼。平均眼轴长度 2 7.4mm(2 6 .12～ 2 9.4mm) ,平均人工晶体屈光度 (8.4 7± 3.75 )D(+ 2～ + 15D)。结果 :术后 30d裸眼及矫正视力≥ 0 .3者 4 2只眼 (89.4 % ) ,并发后囊破裂2只眼 (4.3% ) ,轻度角膜水肿 11只眼 (2 3.4 % )。结论 :超声乳化及人工晶体植入术适合老年人高度近视并发白内障患者。

Objective:To assess the therapeutic effect of phacoemulsification with intraocular lens implantion for cataract on senile patients with high myopia.Methods:Phacoemulsification with IOL implantation was done on 38 cases(47eyes)suffered from complicated cataract and high myopia on senile patients with long axial length(>26mm).The nucleus hardness was grade Ⅰ in 5 eyes,grade Ⅱ in 17 eyes,grade Ⅲ in 25 eyes.The average age of the patients was 67.4 years(60～76 years).The mean axial length was 27.4mm(26.12～29.7mm).The mean diopter of IOL was(8.47±3.75)D(+2～+15D).Results:Postoperatively,the uncorrected or corrected visual acuity 0.3 or better at 1 month was 42 eyes(89.4%).There were posterior capsular rupture in 2 eyes(4.3%)and mild corneal edema 11 eyes(23.4%).Conclusion:Phacoemulsification with intraocular lens implantation is a sutiable technical for the cataract on senile patients with high myopia.The technical skilfulness might be of great importance in the success of the srugery.