超高度近视老年性白内障患者超声乳化及个体化人工晶状体植入术的临床观察  

Clinical observation of phacoemulsification and individualized intraocular lens implantation in senile cataract patients with super high myopia

作　　者：赵晓静[1] 郑晖[1] 刘苹苹[1] 李勤[1] 

机构地区：[1]中山大学附属第五医院眼科,广东珠海519000

出　　处：《中国医师进修杂志》2014年第6期32-34,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨超高度近视老年性白内障患者超声乳化及个体化人工晶状体植入术的临床疗效.方法 超高度近视老年性白内障患者36例（49眼）,行超声乳化及个体化选择人工晶状体度数植入,术后观察患者裸眼远近视力、最佳矫正视力、屈光度及手术并发症.结果 所有手术眼术后视力均有不同程度提高,术后裸眼远视力在0.05 ～ 0.30,裸眼近视力在0.02～0.50.最佳矫正视力0.31 ～ 0.40者22眼（44.9％,22/49）,≥0.50者14眼（28.6％,14/49）.术后屈光度＜-1.00 D者3眼,-1.00-2.00 D者16眼,-2.01-3.00 D者27眼,＞-3.00 D者3眼.与目标屈光度差别＜±0.50 D者21眼,±0.50 D～±1.00 D者18眼,＞±1.00 D者10眼.术后角膜水肿28眼,均在1周至3个月内完全消退,未见视网膜脱离及角膜失代偿等严重并发症.结论 超高度近视老年性白内障患者行超声乳化及个体化选择人工晶状体植入术后,视力改善理想,临床疗效好.Objective To investigate the clinical effect of phacoemulsification and individualized intraocular lens implantation in senile cataract patients with super high myopia.Methods Thirty-six cases of senile cataract patients with super high myopia with 49 eyes underwent phacoemulsification and individualized intraocular lens implantation,postoperative uncorrected distance visual acuity,best corrected visual acuity,diopter and surgical complications were observed.Results All surgical eyes visual acuity had improved to varying degrees,the postoperative far visual acuity in 0.05-0.30,the near visual acuity in 0.02-0.50,best corrected visual acuity 0.31-0.40 in 22 eyes （44.9%,22/49）,≥ 0.5 in 14 eyes （28.6%,14/49）.The postoperative diopter 〈-1.00 D in 3 eyes,-1.00 to-2.00 D in 16 eyes,-2.01 to-3.00 D in 27 eyes,and 〉-3.00 D in 3 eyes.Diopter difference with the goal 〈 ± 0.50 D in 21 eyes,± 0.50 D to ± 1.00 D in 18 eyes,〉 ± 1.00 D in 10 eyes.Postoperative corneal edema in 28 eyes,were completely disappeared within 1 week to 3 months,no retinal detachment and corneal decompensation and other serious complications.Conclusion Senile cataract patients with super high myopia are treated with phacoemulsification and individualized intraocular lens implantation,visions improve ideal and have good clinical efficacy.

关 键 词：近视 超声乳化白内障吸除术 晶体 人工 

分 类 号：R779.66[医药卫生—眼科]