小切口白内障囊外摘除人工晶状体植入术治疗高度近视眼并发白内障的临床观察  

Clinical observation of small-incision extracapsular cataract extraction with intraocular lens implantation for high myopia with complicated cataract

作　　者：徐勇玲[1] 陈凡[1] 施凌平[1] 郝玉萍[1] 方雯莉[1] 潘善刚[1] 

机构地区：[1]安徽省安庆市立医院眼科,246001

出　　处：《临床眼科杂志》2011年第6期528-530,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨小切口白内障囊外摘除人工晶状体植入术治疗高度近视眼并发白内障的临床效果。方法 83例(109只眼)高度近视眼并发白内障患者采用小切口白内障囊外摘除人工晶状体植入术,观察术中、术后并发症及术后视力恢复情况。结果术后矫正视力>0.2者98只眼(89.9%),>0.5者76只眼(69.7%);术中后囊膜破裂8例,术后角膜水肿12只眼,一次性高眼压2只眼,后发障28只眼,术后发现黄斑变性3只眼。结论小切口白内障囊外摘除人工晶状体植入术治疗高度近视眼并发白内障,术中、术后并发症少,术后患眼视力恢复好,且对手术设备要求不高,适应于基层医院开展。Objective To analyze the elinical effects of small-incision extracapsular cataract extraction with intraoeular lens implantation for the treatment high myopia with complicated cataract.Methods 83 cases 109 eyes of high myopial with complicated cataract were treated by small-incision extracapsular cataract extraction with intraocular lens implantation.Complication during and after operations and postoperative visual acuity was analyzed retrospectively.Results The best corrected visual acuity was better than 0.2 in 98 eyes（89.9%）and was 0.5 or more in76 eyes（69.7%）after the treatment.Rupture of posterior capsule during surgery occurred in 8 eyes.Main postoperation complications included 12 eyes of corneal edema,2 eyes of intraocular hypertension,28 eyes of after-cataract,3 eyes of macula hemorrhage.Conclusion There are a few complicated during and after operation for high myopia with complicated cataract treated by small-incision extracapsular cataract extraction with intraocular lens implantation.Patients had good postoperative visual acuity.This operation does not need expensive equipments and is suit for primary hospitals.

关 键 词：小切口白内障囊外摘除 人工晶状体植入 高度近视眼 并发症 

分 类 号：R779.66[医药卫生—眼科]