高度近视伴低视力虹膜夹型有晶状体眼人工晶状体植入术

目的探讨高度近视伴低视力虹膜夹型有晶状体眼人工晶状体植入术的安全性和有效性。方法对11例（22眼）高度近视伴低视力者行虹膜夹型有晶状体眼人工晶状体植入术。术前及术后分别检查裸眼视力、最佳矫正视力、屈光度、眼压及角膜内皮细胞计数,并进行满意度调查,分析其影响因素。结果手术后各阶段的裸眼视力和最佳矫正视力较术前的均有明显提高（P〈0.01）。全部22眼术后各阶段的裸眼视力均达到或超过术前最佳矫正视力;在术后12个月时,8眼（36.4%）裸眼视力≥0.3,6例（54.5%）因此而脱离低视力人群;术后12个月时满意度调查,不满意、满意、非常满意3项比例分别为0、9.1%、90.9%。结论高度近视伴低视力者虹膜夹型人工晶状体植入术安全、有效。

Analysis of implantation of iris-claw phakic intraocular lens for high myopia accompany with low vision

Objective To detect the effects and safety of verisyse iris-claw phakic intraocular lens（ICPIOL） implantation for high myopia accompany with low vision.Method Eleven high myopia patients（22 eyes） accompany with low vision were operated implantation of verisyse ICPIOL.Results Uncorrected visual acuity（UCVA） and best corrected visual acuity（BCVA） in vary period postoperatively had been improved（P〈0.01）.The postoperative UCVA of 22 eyes in vary period reached and exceeded the preoperative BCVA.Six patients（54.5%） were separated from the low vision groups.Conclusion The implantation of Verisyse ICPIOL for high myopia accompany with low vision is safe and effective.