摘要
目的比较和评价透明晶状体摘除联合人工晶状体(intraocular len,IOL)植入术和准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)治疗中、老年高度近视患者的临床效果。方法 93例(179只眼)高度近视患者分为两组:A组透明晶状体摘除折叠人工晶状体植入术组45例(86只眼),B组LASIK手术组48例(93 只眼)。观察术前及术后1周裸眼视力、术后3个月远近视力的屈光状态及手术并发症。结果术后1周两组的裸眼远视力都比术前有明显增加,但A组远视力增加明显高于B组,术后3个月A组矫正远视力的球镜度、柱镜度明显低于B组,但A组矫正近视力球镜度却高于B组,差异有高度显著性。术后B组屈光回退率高于A组,A组4 只眼发生晶状体后囊膜混浊,两组无其他严重的并发症发生。结论对中、老年高度近视患者行透明晶状体摘除折叠人工晶状体植入术具有安全、有效等优点,具有比LASIK更令人满意的视觉效果。
Objective To compare and evaluate the outcomes of both surgeries of clear lens extraction with intraocular lens implantation and laser in situ keratomileusis for the correction of high myopia in middle and old people. Methods 93 cases （ 179 eyes） of high myopia patients were divided into two groups. Group A： clear lens extraction combined with fold IOL implantation： 45 cases （86 eyes） had clear lens extraction with fold intraocular lens implantation. Group B： LASIK： 48 cases （93 eyes） had LASIK . All of cases were analyzed with far-near uncorrection visual acuity （UCVA） ,best correction visual acuity（BCVA） and refractive power preoperatively and at 1 week ,3 months postoperatively. Results The uncorrection visual acuity was improved in all cases postoperatively at 1 week , and the outcomes in group A was better than that of group B . Refractive power after 3 months postoperatively in group A increased more obviously than that in group B. The difference of near best correction visual acuity（BCVA） in both groups has a very statistical significance. The regression rate in group B was higher than that in group A,4 eyes in group A occurred posterior capsular opacification. No other severe complications occurred in both groups. Conclusion The surgery of clear lens extraction with fold intraocular lens implantation for the correction of high myopia in middle and old people is safe and effective,and more perfect than LASIK in visual function.
出处
《临床眼科杂志》
2006年第2期100-102,共3页
Journal of Clinical Ophthalmology
