高度近视合并白内障患者植入多焦点人工晶体的临床应用

Clinical Application of Multifocal Intraocular Lens Implantation in Patients with High Myopia and Cataract

随着人口老龄化的发展,高度近视眼合并白内障的患者逐渐增多。手术是目前治疗白内障唯一安全、有效的方式。多焦点人工晶体能够为患者提供良好的远、近视力,甚至实现良好的全程视力,因此高度近视合并白内障患者使用多焦点人工晶体逐渐得到重视和关注。在严格把握好适应证的前提下,多焦点人工晶体在高度近视合并白内障患者中的使用成为可能,并可取得优于植入单焦点人工晶体的临床效果。本文报道2例高度近视合并白内障患者行白内障超声乳化联合多焦点人工晶体植入术,通过术前的精密测量、规划和术中的精细手术以及术后的密切随访评估,于术后3个月测量双眼离焦曲线评估不同用眼距离的视力,2例均获得了良好的远、近视力,甚至中距离视力,实现了术后脱镜。With the aging of the population, the number of patients with high myopia and cataract is gradually increasing. Surgery is currently the only safe and effective way to treat cataracts. Multifocal intraocular lenses can provide patients with good near and far vision, and even achieve good full vision, so the use of multifocal intraocular lenses in patients with high myopia and cataract has gradually received attention. Under the premise of grasping the indications, it is possible to rationally use multifocal intraocular lens in patients with cataract in high myopia, and the clinical effect is better than that of monofocal intraocular lens. In this paper, two patients with high myopia and cataract underwent phacoemulsification combined with multifocal intraocular lens implantation, and the visual acuity of the binocular defocus curve was measured 3 months after surgery to evaluate the visual acuity of different eye distances through precise measurement, calculation and planning, intraoperative fine surgery and postoperative follow-up evaluation.