人工晶状体植入术治疗高度近视合并白内障患者的临床疗效及对患者视觉质量与生活质量的影响

Clinical Effect of Intraocular Lens Implantation in Patients with High Myopia and Cataract and its Effect on Visual Quality and Quality of Life

目的探讨白内障超声乳化吸除联合人工晶状体植入术治疗高度近视合并白内障患者的疗效及其对视觉质量与生活质量的影响。方法选择2011年1月-2013年12月本院收治的84例(168眼)高度近视合并白内障的患者为研究对象,均行白内障超声乳化吸除联合人工晶状体植入术。根据术后屈光度分为3组,A组患者-1.0^-2.0D,B组-2.25^-3.0D,C组-3.25^-4.0D。术后3个月观察治疗效果,并使用日常视觉活动量表调查患者视觉质量与生活质量情况,采用SPSS 19.0统计软件进行数据处理与分析。结果所有患者术后3个月裸眼视力及矫正视力与术前比较均有不同程度的提高;3组患者术后视觉质量进行比较,夜间视物、看电视情况组间差异无统计学意义(P>0.05),B组、C组阅读书写能力明显优于A组(P<0.05),C组精细操作能力明显优于A组、B组(P<0.05);术后戴镜情况组间差异具有统计学意义(P<0.05);3组患者术后生活质量进行比较,生活自理能力、精神状态组间差异均无统计学意义(P>0.05)。结论白内障超声乳化吸除联合人工晶状体植入术治疗双眼高度近视合并白内障临床效果好,可以有效改善患者视力,较好地提升了患者术后视觉质量与生活质量,值得临床推广应用。

Objective To investigate the curative effect of phacoemulsification combined with intraocular lens implantation for cataract patients with high myopia and the influence on visual quality and quality of life. Methods Eighty-four cases of high myopia patients with cataract （168 eyes） treated in our hospital between January 2011 and December 2013 were selected for this study, who underwent both intraocular lens implantation and phacoemulsification. According to the degree of refraction after oper-ation, those patients were divided into three groups： group A （-1. 0 ～-2. 0D）, group B （-2. 25 ～-3. 0D）, and group C （-3. 25～-4. 0D）. Three months after surgery, the clinical effect was observed while daily visual activity scales were used to as-sess the visual quality and life quality of patients. SPSS 19. 0 statistical software was used for data processing and analysis. Re-sults Three months after operation, the visual acuity and corrected visual acuity of all these patients were improved to different de-grees. Postoperative visual quality was compared between the three groups. The difference in night vision was not statistically sig-nificant between the three groups （P〉0. 05）. The ability to read and write in group B and C was obviously better than that of group A （P〈0. 05）. The fine operational capability was obviously better in group C than in group A and group B （P〈0. 05）. The difference in the rate of wearing glasses was statistically significant between the three groups （P〈0. 05）. There was not sta-tistically significant difference between the three groups in terms of postoperative quality of life, self-care ability and mental state （P〉0. 05）. Conclusion Cataract phacoemulsification combined with intraocular lens implantation for the treatment of cataract pa-tients with high myopia has good clinical effect, which can effectively improve visual acuity, postoperative visual quality and the quality of life.