白内障超声乳化术与现代小切口囊外摘除术治疗白内障合并高度近视患者的临床疗效

Clinical Efficacy of Phacoemulsification and Modern Small Incision Extracapsular Extraction in the Treatment of Cataract Complicated with high Myopia

目的:探讨白内障超声乳化术与现代小切口囊外摘除术治疗白内障合并高度近视患者的临床疗效。方法:选择2019年1月至2020年12月我院收治的白内障合并高度近视患者76例,采用随机数字表法分为两组,各38例。对照组行白内障超声乳化术,观察组行现代小切口囊外摘除术。比较两组视力、六角形细胞比率、角膜内皮细胞密度及并发症。结果:两组术后视力水平较术前提高,六角形细胞比率、角膜内皮细胞密度均较术前降低,差异有统计学意义(P<0.05);两组间术前与术后视力、六角形细胞比率、角膜内皮细胞密度比较,差异无统计学意义(P>0.05);观察组并发症发生率为7.89%(3/38)低于对照组的28.95%(11/38),差异有统计学意义(P<0.05)。结论:白内障合并高度近视患者采用白内障超声乳化术或现代小切口囊外摘除术均能获得一定效果,但现代小切口囊外摘除术安全性更高。

Objective:It aims to investigate the clinical efficacy of phacoemulsification and modern small incision extracapsular extraction in the treatment of cataract complicated with high myopia.Methods:A total of 76 patients with cataract complicated with high myopia treated in our hospital from January 2019 to December 2020 were randomly divided into two groups with 38 cases in each group.Phacoemulsification was performed in the control group while extracapsular extraction with modern small incision was performed in the observation group.Visual acuity,hexagonal cell ratio,corneal endothelial cell density and complications were compared between the two groups.Results:The postoperative visual acuity of the two groups was higher than that before operation while the ratio of hexagonal cells and the density of corneal endothelial cells were lower than those before operation.The difference was statistically significant(P<0.05).There was insignificant difference in visual acuity,hexagonal cell ratio and corneal endothelial cell density between the two groups before and after operation(P>0.05).The incidence of complications in the observation group was 7.89%(3/38).It was lower than that in the control group(28.95%,11/38).The difference was statistically significant(P<0.05).Conclusion:Phacoemulsification and modern small incision extracapsular extraction could achieve certain effect on cataract patients with high myopia,and modern small incision extracapsular extraction is safer.