影响超声乳化术治疗高度近视合并白内障术后视力恢复的因素  

Influencing factors of visual acuity recovery after phacoemulsification for high myopia complicated cataract

作　　者：王淑英 王金霞 牟丽丽[1] Shu-Ying Wang;Jin-Xia Wang;Li-Li Mu(Department of Ophthalmology, Gaomi People's Hospital,Gaomi 261500, Shandong Province, China)

机构地区：[1]中国山东省高密市人民医院眼科

出　　处：《国际眼科杂志》2019年第6期975-977,共3页International Eye Science

摘　　要：目的:探讨影响超声乳化术治疗高度近视合并白内障术后视力恢复的因素。方法:选取2015-03/2017-10我院收治高度近视合并白内障患者70例86眼,予以超声乳化术治疗,分析影响超声乳化术治疗高度近视并发性白内障术后视力恢复的因素。结果:年龄、性别、玻璃体后脱离与术后视力恢复无相关性,眼轴长度、角膜散光度以及黄斑病变与患者术后视力恢复存在相关性,其中眼轴长度、角膜散光度以及黄斑病变为影响患者术后疗效的危险因素。结论:高度近视合并白内障患者行超声乳化术,可有效提高患者的视力,而黄斑病变、眼轴过长及角膜散光度过大是影响术后疗效不佳的主要因素。AIM: To explore the factors affecting visual acuity recovery after phacoemulsification for high myopia complicated with cataract. METHODS: From March 2015 to October 2017, 86 eyes of 70 patients with high myopia complicated with cataract were treated by phacoemulsification, and the factors affecting the visual acuity recovery after phacoemulsification for high myopia complicated with cataract were analyzed. RESULTS: There was no correlation between posterior vitreous detachment and postoperative visual acuity recovery. Axial length, corneal astigmatism and macular disease were correlated with visual acuity recovery. Axis length, corneal astigmatism and macular disease were the risk factors affecting the outcome of surgery. CONCLUSION: Phacoemulsification can effectively improve the visual acuity of patients with high myopia complicated with cataract. Macular lesion, excessive axial length and corneal astigmatism are the three main factors affecting the poor outcome after operation.

关 键 词：超声乳化术 高度近视 并发性 白内障 视力 

分 类 号：R779.6[医药卫生—眼科]