虹膜固定型人工晶体植入矫正高度近视的临床疗效  

Clinical research of implantation of iris-fixated intraocular lens for high myopia

作　　者：葛红岩[1] 殷秀丽[1] 肖楠[1] 冷非[1] 刘平[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院眼科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2010年第5期489-490,493,共3页Journal of Harbin Medical University

基　　金：国家自然科学基金(30973275;C170604)

摘　　要：目的研究有晶体眼虹膜固定型人工晶体植入术治疗高度近视的疗效。方法对近视度数在-10^-22 D的18眼行有晶体眼虹膜固定型人工晶体植入术。手术前后检查裸眼视力、矫正视力、眼压、角膜内皮镜、透明晶体情况,并对上述检查进行对比分析。术后随访12个月。结果 18眼均成功植入人虹膜固定型人工晶体。裸眼视力术前0.01~0.1,术后一天83.33%≥0.4,50.00%≥0.6,术后1年88.88%≥0.4,77.77%≥0.6。术前眼压(12.68±0.46)mmHg;术后眼压(13.59±0.81)mmHg,无显著性差异。角膜内皮细胞计数术前:(3 381±289)个/mm2;术后:(3 107±278)个/mm2,无显著性差异。结论有晶体眼人工晶体植入术治疗超高度近视安全、有效。Objective To evalutate the effect of phakic intraocular lens implantation for high myopia.Methods Eighteen eyes with-10^-22 diopters of myopia were implanted with the intraocular lenses.These eyes then were checked with uncorrected visual acuity,corrected visual acuity,intraocular pressure（IOP） and corneal endothelial cells for 12 months post surgery.Results All surgeries of the 18 eyes were successful.The uncorrected visual acuity was 0.01~0.1 pre-operatively.The corrected visual acuity was improved to 0.4 in 83.33%,and 0.6 in 50.00%,to 0.4 in 88.88%,and 0.6 in 77.77% of those patients post-operatively in one day and one year,respectively.Pre-and post-operative IOP were（12.68±0.46）mmHg and（13.59±0.81）mmHg respectively.Endothelial cells were（3 381±289）/mm2 and（3 107±278）/mm2,with no significant difference.Conclusion The implantation of phakic intraocular lens for high myopia is effective,safe and predictable.

关 键 词：高度近视 晶体植入 虹膜固定型人工晶体 

分 类 号：R778.11[医药卫生—眼科]