超高度近视合并白内障超声乳化吸除及人工晶状体植入术治疗分析

目的：评价超声乳化吸除及人工晶状体植入术治疗超高度近视合并白内障临床效果。方法对超高度近视合并白内障患者49例76眼实施超声乳化吸除及人工晶状体植入术，并于术后3个月了解患者视力、屈光度和并发症情况。结果术后患者脱盲率为94.7%，脱残率为39.4%；60.5%的患眼屈光度偏差值在±0.50D以内；随访3个月未出现晶状体后囊混浊，未发生继发性青光眼、视网膜脱离、人工晶状体移位等严重并发症。结论超声乳化吸除及人工晶状体植入术治疗超高度近视合并白内障可以有效改善患者视力，增加了植入晶状体的稳定性，减少术后并发症的发生。

Analysis on the Efficacy of Treatment of Extreme Myopia with Cataract by Using Phacoemulsification with Intraocular lens Implantation

Objective To investigate the clinical efficacy of treatment of extreme myopia with cataract by using phacoemulsifica-tion with intraocular lens implantation. Methods 49 cases （76 eyes） of extreme myopia with cataract were treated by using pha-coemulsification with intraocular lens implantation. Best corrected visual acuity, refraction diopter and complications were regis-tered and observed after 3 mouths. Results After surgery, the literacy rate of the patients was 94.7% and the off the residual rate was 39.4%. The diopter deviation of 60.5% of patients was within ±0.50D. During the 3 mouths follow-up, the patients had no posterior capsular opacity, secondary glaucoma, retinal detachment, intraocular lens shift and other serious complications. Conclu-sions Phacoemulsification with intraocular lens implantation could improve the visual acuity of patients with extreme myopia with cataract, increased the stability of the lens implant and reduce the incidence of postoperative complications.