透明晶状体置换术治疗高度近视的临床研究  

A study on treatment of high myopia with transparent lens replacement.

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作  者:姜海波[1] 王道升[1] 陈苗苗[1] 张芹[1] 金玉华[1] 

机构地区:[1]随州市中心医院眼科,湖北随州441300

出  处:《眼外伤职业眼病杂志》2007年第2期98-99,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘  要:目的 探讨透明晶状体超声乳化吸出术联合人工晶状体植入术矫治高度近视的有效性及安全性。方法 对48例(60眼)高度近视行透明晶状体超声乳化术联合低度数或负度数后房人工晶状体植入术。观察术后视力,术中和术后并发症。结果 所有病例术后裸眼视力均优于或等于术前最好矫正视力,术前最好矫正视力≥0.5者28眼(46.67%);术后裸眼视力≥0.5者40眼(66.67%)。术中除1例发生后囊破裂,人工晶状体植入睫状沟外,其余均植入囊袋内。术后观察6-18月无角膜水肿失代偿、视网膜脱离等严重的远期并发症。结论 透明晶状体超声乳化吸出联合后房人工晶状体植入术矫治高度近视,是1种安全、有效的手术方法。具有术后视力恢复好,屈光状态稳定,并发症少,远期疗效可靠的优点。Objective To study the efficacy and safety of treatment of high myopia with transparent lens phacoemulsification extraction combined with intraocular lens implantation. Methods 48 patients (60 eyes) high myopia were performed transparent lens phacoemulsification extraction combined with posterior chamber low degree or minus degree intraocular lens implantation. To observe the postoperative visual acuity and complication. Results The postoperative uncorrected visual acuity of all the patients were no less than the preoperative best corrected visual acuity. The preoperative corrected visual acuity was more than 0.5 in 28 eyes (46.67%), and the postoperative uncorrected visual acuity was more than 0.5 in 40 eyes(66.67% ). During these operations, only one eye's posterior capsular was broken and intraocular lens was implanted in the ciliary groove. Other intraocular lens were implanted in capsulars. Following 6 - 18months postoperatively, there were no serious complication such as corneal edema and retinal detachment. Conclusions Transparent lens phacoemulsification extraction combined with intraocular lens implantation is an effectiveness and safety method for high myopia. The patient who was operated by this method would have a better visual acuity, a stable diopter, little complication and reliable curative effect.

关 键 词:晶状体超声乳化吸出术 晶状体 人工 透明晶状体 高度近视 

分 类 号:R779.6[医药卫生—眼科]

 

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