超声乳化人工晶状体植入术治疗高度近视伴白内障的效果  

The efficacy of phacoemulsification and intraocular lens implantation for patients of high myopia with cataract

作　　者：王媛[1] 朱冬梅[1] 刘曦[1] 

机构地区：[1]郑州大学附属郑州中心医院眼科,郑州450007

出　　处：《中华眼外伤职业眼病杂志》2017年第4期280-283,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 评价超声乳化人工晶状体植入术治疗高度近视伴白内障的临床效果.方法 对28例（39眼）高度近视伴白内障进行回顾性分析,所有患者均行超声乳化联合人工晶状体植入术,观察术后视力和并发症情况.结果 术后6个月的裸眼视力〈0.2者9眼,0.25-0.4者19眼,≥0.5者11眼.且裸眼视力和最佳矫正视力均明显高于术前（P〈0.05）.术后发生角膜水肿4眼（10.2%）,高眼压1眼（2.6%）,术后并发症发生率为12.8%.进行3-7 ds的治疗以后,角膜水肿消退,眼压恢复正常.结论 采用超声乳化联合人工晶状体植入术治疗高度近视伴白内障,可以有效改善患者的裸眼视力及最佳矫正视力,且手术创伤小、术后视力恢复快.Objective To evaluate the efficacy of phacoemulsification and intraocular lens implantation for patients of high myopia with cataract.Methods Thirty-nine eyes of 28 patients of high myopia with cataract were selected and retrospectively analyzed in our hospital from July 2014 to July 2015.All cases were treated by phacoemulsification and intraocular lens implantation.The visual acuity and complications after surgery were observed.Results Visual acuity 〈0.2 were in 9 eyes, 0.25 and 0.4 were in 19 eyes, ≥ 0.5 were in 11 eyes.The uncorrected visual acuity and best corrected visual acuity after surgery were significantly higher than those preoperative （P〈0.05）.The corneal edema postoperative occurred in 4 eyes （10.2%）, intraocular hypertension happened in 1 eye （2.6%）, the complication rate was 12.8%.After treatment 3-7 ds, corneal edema in all patients subsided, and the intraocular pressure returned to normal.Conclusion The phacoemulsification and intraocular lens implantation for patients high myopia with cataract, could effectively improve visual acuity and best corrected visual acuity, and it has a slight surgical trauma, postoperative visual acuity recovers fast.

关 键 词：近视 高度 白内障 超声乳化 晶状体 人工 植入 

分 类 号：R779.6[医药卫生—眼科]