低度数或负度数折叠式人工晶状体植入术治疗白内障合并高度近视的临床观察

A clinical observation of low and negative power intraocular lens implantation

目的 观察白内障摘除联合低度数或负度数丙烯酸酯 (Acrysof)折叠式人工晶状体植入术治疗白内障合并高度近视的临床疗效。方法 对 4 0例 (5 6只眼 )白内障合并高度近视患者行超声乳化白内障吸除低度数或负度数Acrysof折叠式人工晶状体植入术 ,观察术中和术后并发症、术后视力和屈光度数。术后随访时间≥ 3个月。结果 术中无并发症发生。术后 3个月最佳矫正视力 <0 1者 2只眼 ,0 1～ 0 4者 12只眼 ,0 5～ 0 9者 36只眼 ,1 0～ 1 5者 6只眼 ;4只眼 (7 2 % )晶状体后囊膜混浊 ,1只眼 (1 8% )发生晶状体囊袋阻滞综合征 ,无视网膜脱离者。结论 超声乳化白内障吸除低度数或负度数Acrysof折叠式人工晶状体植入术 ,是治疗白内障合并高度近视患者安全、有效的手术方法。

Objective To evaluate the clinical effects of the low power and negative power acrylic foldable intraocular lens (Acrysof IOL) implantation Methods Forty patients (56 eyes) received phacoemulsification and above mentioned Acrysof IOL implantation Intraoperative and postoperative complications, visual acuity and refractive error were observed Results No intraoperative complications occurred During 3 months of follow up, the corrected visual acuity was less than 0 1 in 2 eyes, 0 1 0 4 in 12 eyes, 0 5 0 9 in 36 eyes, and 1 0 1 5 in 6 eyes Posterior capsular opacification was found in 4 eyes (7 2%) Capsular distension was found in 1 eye (1 8%) No retinal detachment was seen Conclusion It is safe and effective for highly myopic patients with cataract to implant a low or negative power Acrysof IOL after phacoemulsification