高度近视白内障术后视网膜脱离临床观察

目的 评估高度近视眼白内障术后视网膜脱离的发生率.方法 从2003年1月至2006年12月间行白内障手术的高度近视患者,357例586只眼,平均随访35.6月(8～12月),术前平均眼轴长度为30.68 mm(26.11～35.17 mm).结果 15只眼(2.56%)术后并发视网膜脱离.术前39只眼(6.65%),术后64只眼(10.92%)行预防性光凝治疗,随访期间未见发生视网膜脱离.结论 白内障手术会增加高度近视眼并发视网膜脱离的风险.白内障术前、术后预防性光凝对减少术后并发视网膜脱离有一定作用.

Retinal detachment after cataract surgery in highly myopic eyes

Purpose To assess the incidence of postoperative retinal detachment in patients with high myopia aRer cataract surgery performed by phacoemulsification.Methods 586 eyes of 357 patients with high myopia having phacoemulsification and Implantation of an intraocular lens from 2003 to 2006 were retrospectively reviewed.The mean follow-up was 35.6 months(8-42 months).The mean axial length was 30.68mm (26.11mm-35.17mm).Results Retinal detachment was observedin 15 eyes(2.56%).Prophylactic photocoagulation was carried out in 39 eyes(6.65%)preoperatively and 64 eyes(10.92%)postoperatively.These eyes did not develop retinal detachment during follow-up.Conclusions Cataract surgery increases the risk of retinal detachment development in highly myopic eyes.Prophylactic laser photocoagulation reduces the risk for retinal detachment.