高度近视白内障手术治疗

目的探讨高度近视合并白内障超声乳化吸出联合人工晶状体植入手术的效果和并发症。方法回顾分析近4年在我院行超声乳化摘出联合人工晶状体植入的高度近视合并白内障256例（368眼）的治疗效果和并发症。结果术后1 d矫正视力〈0.1者6眼,占1.63%;0.1-0.3者49眼,占13.32%;0.3-0.5者184眼,占50.00%;0.5-0.6者87眼,占23.64%;0.6-0.8者28眼,占7.61%：0.8-1.0者11眼,占2.99%;≥1.0者3眼,占0.82%。术后3个月矫正视力〈0.1者5眼,占1.36%;0.1-0.3者38眼,占10.33%;0.3-0.5者157眼,占42.66%;0.5-0.6者112眼,占30.43%;0.6-0.8者36眼,占9.78%,0.8-1.0者15眼,占4.08%;≥1.0者5眼,占1.36%。并发症主要有：术中撕囊失败11眼（2.99%）,后囊破裂5眼（1.36%）,悬韧带断裂7眼（1.90%）,术后可逆性角膜水肿31眼（8.42%）,经治疗后1-2周消失;暂时性眼压升高11眼（2.99%）,继发性视网膜脱离2眼（0.54%）,经手术后恢复。结论高度近视合并白内障行超声乳化吸出联合人工晶状体植入既可治疗白内障,亦可矫正高度近视,术后视功能恢复较好。

Surgical treatment of cataract with high myopia

Objective To investigate the effects and complications of phacoemulsification and intraocular lens implantation for high myopia with cataract. Methods A retrospective analysis of the therapeutic effect and complications with phacoemulsification and intraocular lens implantation for high myopia with cataract 256（368 eyes） in the past four years in our hospital. Results fter the first postoperative day of uncorrected visual acuity 0.1 were 6 accounted for 1.63%;0.1-0.3 were 49 accounted for 13.32%;0.3-0.5 were 184 accounted for 50%;0.5-0.6 were 87 accounted for 23.64%;0.6-0.8 were 28 accounted for 7.61%;0.8-1.0 were 11 accounted for 2.99%;≥1.0 were 3 accounted for 0.82%.Postoperative corrected visual acuity 0.1 After three months of 5 eyes accounted for 1.36%;0.1-0.3 were 38 accounted for 10.33%;0.3-0.5 were 157 accounted for 42.66%;0.5-0.6 were 112 accounted for 30.43%;0.6-0.8 were 36 accounted for 9.78%;0.8-1.0 were 15 accounted for 4.08%;≥1.0 were 5 accounted for 1.36%.The complications were： failure of intraoperative capsulorhexis （11 eyes,2.99%）;posterior capsule rupture（5eyes,1.36%）;suspensory ligament rupture（7eyes,1.90%）;postoperative reversible corneal edema （3 leyes,8.42%）,disappeared after 1 to 2 week after treatment;intraocular hypertension（11 eyes,2.99%）;retinal detachment （2eyes,0.54%）,recovery after surgery. Conclusion Cataract phacoemulsification and intraocular lens implantation for high myopia which have ideal visual function recovery afteroperative and surgical safety.