有晶状体眼前房型人工晶状体植入术治疗高度近视30例疗效观察

目的探讨有晶状体眼前房型人工晶状体植入术矫正高度近视的有效性和安全性。方法高度近视30例43只眼进行有晶状体眼前房型人工晶状体植入术,球面等量光度-7.00~-20.00D,术前检查散瞳前后的屈光度、视力、眼压、角膜内皮计数、房角、眼压以及裂隙灯下观察角膜、前房、瞳孔、晶状体的情况,检眼镜查看眼底。术后随访1~6个月。结果43眼均成功植入人工晶状体,术后视力明显改善,迅速达到或超过最佳矫正视力。术后屈光度明显降低,随访期内眼压、角膜内皮计数与术后无明显差异。手术无明显并发症。结论有晶状体眼前房型人工晶状体植入治疗高度近视,视力恢复迅速,预测性好,无屈光回退,无严重并发症,不失为一种治疗近视的高度近视的有效方法。

Phakic anterior chamber intraocular lens implantation for the treatment of high muopia

Objective To investigate the effects and safety of phakic anterior chamber intraocular lens implantation for the treatment of high muopia.Methods Phakic anterior chamber intraocular lens implantation were performed in thirty patients(43 eyes) with high myopia of 7.00～-20.00D.Before and after mydriasis diopter,myopia,tension of eyeball,cornea endothelium counter and chamber angle were examined before the implantation,and conditions of cornea,chamber angle,pupil and lens were observed under slit lamp.Eye ground was examined with ophthalmoscope.The follow-up period was 1-6 months.Results The intraocular lens of anterior chamber type were implanted successfully into forty-three eyes of thirty patients.Visual acuity was improved,diopter dropped,the best correcting result for visual acuity was obtained rapidly after implantation.During follow-up period tension of eyeball and cornea endothelium counter didn't differobviously from those after operation.There was no obvious complication.Conclusion Phakic anterior chamber intraocular lens implantation for the treatment of high muopia is agood and effective and visual acuity is corrected rapidly,predictability is good,no diopter rises and no serious complication manifest,finally,late effect should be observed in future.