可植入后房型接触人工晶体矫治高度近视临床观察  

Clinical Observation of Phakic Posterior Chamber Intraocular Lens Implantation for High Myopia Correction

作　　者：胡锡彬 何建中[1] 邱艳飞[1] 赖伟[1] 

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《现代临床医学》2012年第6期463-465,共3页Journal of Modern Clinical Medicine

摘　　要：目的:观察可植入后房型接触人工晶体矫治高度近视的临床效果。方法:对近视度数在-10～22.5D的12例23眼行可植入后房型接触人工晶体植入术。术前及术后行裸眼视力、最佳矫正视力、散光、眼压、前房深度、角膜内皮细胞计数、人工晶体及透明晶体检查,并在术后6～12个月(平均8.6个月)的随访中,对上述内容再次检查并进行对比分析。结果:23眼均成功行植入后房型接触人工晶体术。术后3个月、6个月裸眼视力达到或超过术前最佳矫正视力;散光明显减轻;眼压、前房深度、角膜内皮细胞计数与术前比较均无明显改变;术后未见晶状体混浊情况发生。结论:可植入后房型接触人工晶体术可有效矫治高度近视。手术安全性高,效果确切,具有可预测性及可逆性。Objective： To explore the clinical effects of phakic posterior chamber intraocular lens implantation on high myopia correction. Methods：Phakic posterior chamber intraocular lens implantation was performed on 12 patients （23 eyes） with high myopia （ - 10D to 22.5D）. The following items of examination were investigated before and after operation： uncorrected visual acuity, best corrected visual acuity, astigmatism,intraocular pressure, anterior chamber depth and the counting of endotheliocyte in cornea. Follow -up duration ranged from 6 months to 12 months after operation （average duration 8.6 months）. Results：The implantation was successfully performed on all 23 eyes. The visual acuity was as same as or better than preoperative best corrected visual acuity 3 month after the treatment. The degree of astigmatism was significantly decreased. No changes were observed in postoperative items of examination for intraocular pressure, anterior chamber depth and the density of endotheliocyte in cornea compared to the preoperative results. No lenticular opacity occurred after the treatment. Conclusion：Phakic posterior chamber intraocular lens implantation is an effective treatment for high myopia and has an advantages of higher safety, predictability and reversibility.

关 键 词：可植入 后房型 高度近视 人工晶体 

分 类 号：R778.11[医药卫生—眼科]