非超声乳化人工晶状体植入治疗高度近视白内障的疗效

目的：对高度近视白内障采用小切口非超声乳化白内障摘除人工晶体状植入治疗的临床疗效进行观察。
　　方法：选取高度近视合并白内障患者74例78眼，随机分为对照组与观察组各37例39眼，对照组行白内障超声乳化吸除人工晶状体植入术，观察组行小切口非超声乳化白内障摘除人工晶体状植入，对治疗效果进行分析。
　　结果：两组治疗后裸眼视力为0.5及以上者比例与矫正视力为0.5及以上者比例无显著差异，治疗后眼压均显著降低且两组间对比无显著差异；观察组术中及术后并发症发生率均显著低于对照组，伤口愈合时间显著短于对照组。结论：小切口非超声乳化白内障摘除人工晶体状植入治疗高度近视白内障疗效显著，并发症发生率低，值得在临床中推广。

Efficacy of phacoemulsification and intraocular lens implantation for high myopia with cataract

AIM: To analyze clinical curative effect of small incision non-phacoemulsification cataract extraction and intraocular lens implantation in the treatment of the high myopia with cataract.

METHODS: Seven-four cases(78 eyes)of patients with high myopia and cataract were randomly divided into control group and observation group, 37 cases(39 eyes)in each group. The control group underwent cataract phacoemulsification and intraocular lens implantation, the observation group received small incision non-phacoemulsification cataract extraction and intraocular lens implantation. The treatment effect was analyzed.

RESULTS: After treatment, there was no significant difference in the ratio uncorrected visual acuity of 0.5 and above in two groups. IOP was significantly decreased in two groups after treatment with no significant difference. Intraoperative and postoperative complications in observation group were significantly lower than that in control group. Wound healing time of observation group was significantly shorter than that of the control group.

CONCLUSION:Small incision non-phacoemulsification cataract extraction and intraocular lens implantation in the treatment of high myopia with cataract has significant effect, lower complication rate, and is worthy of promotion in clinical.