超声乳化透明晶状体摘除联合人工晶状体植入治疗高度近视的临床疗效

目的:探讨超声乳化透明晶状体摘除联合人工晶状体植入治疗高度近视的临床疗效。方法:对30例49眼高度近视眼患者,经透明角膜切口行超声乳化透明晶状体吸除联合后房型折叠人工晶状体植入术,对比患眼手术前后视力,观察术后并发症,术后随访6～12(平均8.5)mo。结果:术后49眼矫正视力均超过术前最佳矫正视力,其中术后裸眼视力≥0.5者28眼(57%),术后最佳矫正视力≥0.5者41眼(84%);术后发生后囊混浊5眼(10%),均行YAG激光治疗;1例发生视网膜脱离(2%)。随访期内未发现黄斑囊样水肿、眼底出血、青光眼、人工晶状体偏位等并发症。结论:超声乳化透明晶状体摘除联合折叠式人工晶状体植入术,作为一种屈光手术治疗高度近视是安全有效的方法。

Clinical efficacy of transparent lens phacoemulsification combined with intraocular lens implantation for correcting high myopia

AIM:To investigate the clinical efficacy and safety of transparent lens phacoemulsification combined with intraocular lens(IOL) implantation in correcting high myopia.·METHODS:Thirth patients(49 eyes) with high myopia underwent transparent lens phacoemulsification combined with IOL implantation.We investigated the patient’s visual acuity before and after the surgery and observed the post-operative complications which lasted for 6-12 months,average 8.5 months.·RESULTS:The best corrected vision of 49 eyes after surgery were better than that before surgery.Postopera-tive uncorrected vision was above 0.5 in 28 eyes(57%);the best corrected vision was above 0.5 in 41 eyes(84%);posterior capsule opacification occured in 5 eyes(10%),and all the above were performed YAG laser treatment.Retinal detachment occured only in 1 eye(2%).Com-plications such as cystoid macular edema,fundus hemorr-hage,glaucoma,and IOL deviation didn’t occur in the follow-up period.·CONCLUSION:It can be concluded that the therapy of transparent lens phacoemulsification combined with IOL embedding as refractive surgery to correct high myopia seems to be very effective and safe.