高度近视并发白内障患者术前及术后生存质量改变的研究

目的：探讨白内障手术疗法对高度近视并发白内障患者生存质量的影响。

方法：选取陕西省子洲县复明工程中46例高度近视并发白内障患者实施白内障摘除术，进行问卷调查、视力检查，分析手术前后视功能、生存质量以及功能性指标变化。

结果：患者46例中44例(96%)为第1眼手术，2例(4%)为第2眼手术。46例患者术后视力均高于术前。术后的视功能、生存质量及视功能损害眼病患者生存质量量表测评均高于术前。手术前后功能性指标变化比较也有显著性改变。

结论：安全且效果极佳的白内障手术疗法可以提高高度近视并发白内障患者的生存质量，是该类患者除了基本康复及视觉康复之外的重要康复手段。

Study on the changes of life quality before and after cataract surgery for high myopia complicated with cataract

AIM: To evaluate the effect of cataract surgery on quality of life(QOL)for the patients with high myopia complicated with cataract.

METHODS: Forty-six patients with high myopia complicated with cataract undergone cataract surgery were selected among the patients following Vision Recovery Project in Zizhou County, Shaanxi Province. Visual acuity of the patients was inspected. At the same time, the functional indexes changes of all abilities, visual function and QOL questionaire were analyzed.

RESULTS: Fourty-four patients(96%)were undergone the cataract surgery on their first eye, 2 patients(4%)on their second eye among the all 46 participants. Visual acuity after surgery was higher than before in all patients. The measurement of postoperative visual function and QOL including that of patients with visual function deterioration was higher than that of preoperative records. Functional indexes before and after operation had significant changes.

CONCLUSION: Cataract surgery with safe and excellent effects can improve QOL of the patients with high myopia complicated with cataract. It is an important method of rehabilitation in addition to basic rehabilitation and visual rehabilitation in this kind of patients.