年龄相关黄斑变性白内障患者超声乳化人工晶状体植入术后疗效分析

目的:探讨白内障手术对伴有年龄相关黄斑变性(agerelated macular degeneration,AMD)的白内障患者的治疗效果,评价手术的价值。方法:对31例37眼同时伴有AMD的白内障患者行超声乳化人工晶状体植入术,术后随访3～6mo,分析其临床效果。结果:术后所有患者的视力均有不同程度的提高,其中指数2眼(5%),0.01～0.08者11眼(30%),0.1～0.2者12眼(32%),0.3者8眼(22%),0.4～0.5者4眼(11%);术后有1眼(3%)AMD病变加重,为湿性AMD。结论:对于同时伴有AMD的白内障患者,综合考虑其黄斑和晶状体情况,在白内障严重影响视力的情况下,为了提高患者的生活质量,应该积极地进行白内障手术。

Clinical analysis of cataract surgery in patients with cataract and age-related macular degeneration

AIM:To study and assess the effects of cataract surgery in patients with cataract and age-related macular degeneration(AMD).METHODS:Thirty-seven eyes of 31 patients with cataract and AMD who received the phacoemulsification with intraocular lens implantation were followed up for 3-6 months.RESULTS:All patients had improvement in visual acuity:2 eyes(5%) got counting fingers,11 eyes(30%) got 0.01-0.08,12 eyes(32%) got 0.1-0.2,8 eyes(22%) got 0.3,4 eyes(11%) got 0.4-0.5.1 eye(3%) had wet AMD which macular degeneration got worse.CONCLUSION:In patients with cataract and AMD,cataract surgery is necessary for the improvement of life quality when the visual acuity is affected by cataract.