高度近视白内障小切口摘除术52例

Small-incision cataract extraction in 52 patients with high myopia

目的:探讨隧道式小切口技术用于高度近视白内障摘除的临床疗效和手术技巧。方法:对52例(84眼雪高度近视并发白内障患者施行隧道式小切口囊外摘除,并植入人工晶状体28眼。结果:随访1～6mo,术后视力0.1以下者11眼,0.2～0.5者64眼,0.6～0.8者9眼。结论:隧道式小切口白内障摘除术具有切口小、并发症少、恢复快等优点,适用于高度近视白内障摘除。

AIM: To evaluate the clinical effect of small-tunnel incision technique in high myopia cataract extraction.· METHODS: A total of 52 high myopia cataract patients(84 eyes) received extracapsular cataract extrations with small-tunnel incision, of whom 28 eyes received intraocular lens(IOL) implantation.· RESULTS: The patients were followed up for 1-6 months. The postoperative visual acuity was below 0.1 in 11 eyes, 0.2-0.5 in 64 eyes and 0.6-0.8 in 9 eyes.· CONCLUSION: Small-tunnel cataract extraction results in more stability, faster rehabilitation and fewer complications, thus is effective for high myopia cataract patients.·