超声乳化白内障摘出联合人工晶状体植入治疗超高度轴性近视白内障患者的临床疗效  

Effects of phacoemulsification and intraocular lens implantation for cataract with super-high axial myopia

作　　者：郭照洪[1] 王宏[1] 宋爱平[1] 文译[1] 侯祺[1] 解柳[1] 

机构地区：[1]益阳市中心医院眼科,湖南省益阳市413000

出　　处：《眼科新进展》2013年第1期83-84,87,共3页Recent Advances in Ophthalmology

摘　　要：目的观察超声乳化白内障摘出联合人工晶状体植入治疗超高度轴性近视白内障患者的临床疗效。方法随机选取2007年6月至2010年6月因超高度轴性近视白内障就诊于我院的患者170例(222眼),随机分为治疗组85例(110眼)和对照组85例(112眼),治疗组采用超声乳化白内障摘出联合折叠式人工晶状体植入术治疗,对照组采用非超声乳化联合人工晶状体植入术治疗。术后随访12～24个月,平均16个月,观察比较两组患者治疗前后视力变化、治疗效果以及术后并发症发生情况。结果治疗组治疗前视力≤0.3者66眼(60.0%),0.3～0.5者32眼(29.1%),≥0.5～0.8者12眼(10.9%);治疗后视力≤0.3者12眼(10.9%),0.3～0.5者28眼(25.5%),≥0.5～0.8者33眼(30.0%),≥0.8者37眼(33.6%),治疗后视力明显好于治疗前,差异有统计学意义(P<0.05);对照组治疗前视力≤0.3者64眼(57.1%),0.3～0.5者34眼(30.4%),≥0.5～0.8者14眼(12.5%);治疗后视力≤0.3者24眼(21.4%),0.3～0.5者35眼(31.3%),≥0.5～0.8者31眼(27.7%),≥0.8者22眼(19.6%),治疗后视力明显好于治疗前,差异有统计学意义(P<0.05)。两组治疗前视力比较,差异无统计学意义(P>0.05);治疗后视力治疗组好于对照组,差异有统计学意义(P<0.05)。治疗组总有效率(63.6%)高于对照组(47.3%),并发症总发生率(11.8%)低于对照组(31.3%),差异均有统计学意义(均为P<0.05)。结论超声乳化白内障摘出联合折叠式人工晶状体植入治疗超高度轴性近视白内障有利于患者术后的视力恢复,并发症较少。than 0. 3 in 66 eyes （60.0%） ,from 0.3 to 0.5 in 32 eyes （29.1%） ,from 0.5 to 0.8 in 12 eyes （ 10.9% ） ;The postoperative visual acuity was equal to or less than 0.3 in 12 eyes （ 10.9% ） ,from 0.3 to 0.5 in 28 eyes （25.5%） ,from 0.5 to 0. 8 in 33 eyes （30.0%）, equal to or more than 0.8 in 37 eyes （ 33.6% ） ; There was statistical difference between pre-operation and post-operation （P 〈 0.05 ）. In the control group, the preoperative visual acuity was equal to or less than 0.3 in 64 eyes （57.1%） ,from 0.3 to 0.5 in 34 eyes （30.4%） ,from 0.5 to 0.8 in 14 eyes （ 12.5% ） ;The postoperative visual acuity was e- qual to or less than 0.3 in 24 eyes （21.4%） ,from 0.3 to 0.5 in 35 eyes （31.3%） ,from 0.5 to O. 8 in 31 eyes （27.7%） ,e- qual to or more than 0.8 in 22 eyes （ 19.6% ） ; There was statistical difference between pre-operation and post-operation （P 〈 0.05 ）. There was no statistical difference in preoperative visual acuity between two groups （P 〉 0.05 ）, but statistical difference in postoperative visual acuity （P 〈 0.05 ）. The total effective rate of treatment group （ 63.6% ） was higher than that of control group （47.3%）, the total incidence of complications in treatment group （ 11.8% ） was lower than that in control group （ 31.3% ）, there were statistical differences （ all P 〈 0.05 ）. Conclusion Phacoemulsification and foldable intraocuiar lens implantation for cataract patients with super-high axial myopia is helpful for the vision recovery with less postoperative complications.

关 键 词：超声乳化 人工晶状体植入 超高度轴性近视 白内障 

分 类 号：R779.66[医药卫生—眼科]