高度近视眼黄斑劈裂患者白内障超声乳化术临床分析  

Clinical analysis of phacoemulsification for the treatment of high myopia and macula lutea retinoschisis

作　　者：廖琼[1] 李灿[1] 刘翔[1] 

机构地区：[1]第三军医大学附属西南医院西南眼科医院,重庆400038

出　　处：《临床眼科杂志》2011年第2期112-114,共3页Journal of Clinical Ophthalmology

摘　　要：目的观察高度近视眼黄斑劈裂合并白内障患者行白内障超声乳化吸出及人工晶状体植入术的临床疗效。方法术前行黄斑相干光断层扫描（OCT）检查筛选出高度近视并发黄斑劈裂25只眼施行白内障超声乳化摘出及人工晶状体植入术,随访3～9个月,记录术中、术后并发症,并观察患者术后视力及屈光状态变化。结果术后3个月后矫正视力≥0.8者7只眼（28%）,矫正视力0.5～0.7者4只眼（16%）,矫正视力0.3～0.4者5只眼（20%）,矫正视力0.1～0.2者6只眼（24%）,矫正视力〈0.1者3只眼（12%）。随访期内视力稳定。术后3个月患者平均屈光度为（-1.54±0.87）D。术后无黄斑水肿、出血及视网膜脱离,术后5只眼后囊混浊行激光后囊膜切除术,患者主观满意度96%。结论高度近视并发黄斑劈裂行白内障超声乳化术及人工晶状体植入术,能够有效提高患者视力,提高患者生存质量,手术安全,疗效可靠。Objective To investigate the clinical effects of phacoemulsification combined with intraocular lens（IOL） implantation for high myopia patients with macula lutea retinoschisis.Methods 25 patients were diagnosed with high myopia and macula lutea retinoschisis using optical coherence tomography（OCT）,and treated with phacoemulsification and IOL implantation.All patients were followed up for 3 months to 9 months.Intra-operative and post operative complications were recorded.Changes of postoperative visual acuity and dioptor were observed.Results At postoperative 3 month,corrected vision be and more than 0.8 in 7 eyes（28%）,0.5~0.7 in 4 eyes（16%）,0.3~0.4 in 5 eyes（20%）,0.1~0.2 in 6 eyes（24%）,and lower than 0.1 in 3 eyes（12%）.Within the following-up time,visual acuity was stable,and the average diopter was（-1.54 ±0.87） D at postoperative 3 months.There was no serious complication in operating and postoperation.5 eyes were performed posterior capsulotomy because after-cataract.Conclusion Phacoemulification and IOL implantation is safe,effective and reliable.It can improve visual acuity and living quality of patients with high myopia and macula lutea retinoschisis.

关 键 词：高度近视眼 黄斑劈裂 白内障 超声乳化吸除术 

分 类 号：R779.6[医药卫生—眼科]