有晶状体眼前房虹膜夹持型人工晶状体植入治疗高度近视

Clinical study of anterior chamber lens iris clip intraocular lens implantation for high myopia

目的:观察有晶状体眼前房型虹膜夹持人工晶状体植入治疗高度近视的临床疗效。方法:对28例50眼高度近视患者进行有晶状体眼Verisyse前房虹膜夹持型人工晶状体植入手术,观察术后的裸眼视力、最佳矫正视力、眼压、角膜及前房内炎症变化情况。结果:患者28例50眼均顺利在前房内植入虹膜夹持的人工晶状体,术后所有患者视力较术前均增加。术后1a,裸眼视力38眼(76%)≥1.0,12眼(24%)≥0.5,最佳矫正视力40眼(80%)≥1.0,10眼(20%)≥0.5。术后22眼最佳矫正视力均达到并超过术前最佳矫正视力。结论:高度近视患者有晶状体眼前房植入虹膜夹持型人工晶状体是一种较好的安全有效的矫正视力的方法,术后屈光效果令人满意。

AIM： To evaluate the clinical effect of implantation of phakic anterior chamber iris clip intraocular lens in high myopia patients. METHODS： Fifty eyes of 28 high myopia patients with anterior chamber phakic Verisyse iris clip intraocular lens implantation were observed. The visual acuity, best corrected visual acuity, intraocular pressure, corneal and anterior chamber inflammation changes were observed after the procedure. RESULTS： Fifty eyes of 28 high myopia patients were successfully accepted implantation of phakic anterior chamber iris clip intraocular lens. Visual acuity of all the patients was increased after operation. And one year later, visual acuity of 38 eyes （76%） ≥ 1. 0, 12 eyes （24%） ≥ 0. 5, best corrected visual acuity of 40 eyes （80%） ≥1.0, 10 eyes （20%） ≥0.5. In 22 eyes, the postoperative best corrected visual acuity were reached and exceeded preoperative best corrected visual acuity. CONCLUSION： Implantation of iris clip intraocular lens in high myopia patients with anterior chamber lens was feasibility and effective.