高度近视伴未成熟期白内障超声乳化手术治疗

目的评价高度近视眼伴未成熟期白内障患者行Phaco+IOL手术治疗的临床效果及患者满意度调查。方法高度近视合并未成熟期白内障患者35例68眼,年龄42～55岁,球镜光屈度均>-9.75.00D,平均-11.3±1.26 D,眼轴长度均>27.32 mm,平均(29.22±1.87)mm;所有患者均行透明角膜切口白内障超声乳化吸除+可折叠式IOL植入术;术后随访6个月,分别于术后3天、1个月、3个月、6个月行视力和眼部状况检查,并记录其视力及眼部并发症情况。结果视力恢复情况:随访至术后6个月裸眼视力≥0.5者48眼,占70.58%,其中有10眼裸眼视力≥0.8;并发症情况:术中有3眼发生后囊破裂,予植入张力环后均顺利植入人工晶体;术后早期部分患者出现角膜内皮水肿及一过性眼压升高现象,予以对症治疗后均恢复正常;至术后6个月时有7眼出现后发性白内障。结论高度近视合并白内障患者眼部状况复杂,在白内障未成熟期行超声乳化联合人工晶体植入既可矫正高度近视,又可有效避免眼部并发症的发生,手术安全系数高,患者满意度高。

Investigation of phacoemulsification for high myopia with immature cataract

Objective To investigate the therapeutic effect of phacoemulsification and intraocular lens(IOL) implantation in high myopia with immature cataract.Methods Phacoemulsification with implantation of a foldable IOL was performed on 68 eyes of 35 patients with high myopia and immature cataract.The average ageof the patients were 42~55 years.The mean axial length was(29.22±1.87) mm.The mean diopter of the eyes was-11.3±1.26 D.The follow-up time was 6 months.Results Untill 6 months of postoperatively,the uncorrected visual acuity ≥ 0.5 or better was 70.58%.The patients achieved the best visual acuity of 0.8 or better accounted for 10 eyes.No severe complications were recorded.Conclusion Phacoemulsification and IOL implantation offer the advantages of rapid and better rehabilitation of visual acuity and more stabilization of postoperative astigmatism in high myopia with immature cataract.