摘要
目的评价超声乳化治疗高度近视白内障的临床效果。方法观察分析采用巩膜隧道切口及囊袋内超声乳化术,并植入后房型人工晶体(IOL)32例(51眼)白内障合并轴性高度近视患者的术后视力、屈光度、并发症及随访3个月的资料。结果本组患者术前平均眼轴27.40mm,平均屈光度柱镜(-13.7±0.92)DS,柱镜(-3.93±0.23)DC;术后3个月视力>0.5者30眼,视力1.0者8眼,平均屈光度柱镜(-0.64±0.21)DS,柱镜(-0.98±0.37)DC。术后1周视力、3个月视力分别与术前比较,t值为-13.776、-11.501,P值均(0.05,差异有统计学意义;术后3个月球镜、柱镜与术前分别比较,t值为-15.055、-4.383,P(0.05,差异均有统计学意义。术后并发症有不同程度的角膜水肿和前房炎症反应,术后1周内均消退;发生后囊下混浊6眼,激光切开后囊后视力提高。结论超声乳化技术治疗高度近视白内障安全有效。手术效果与其自身眼底病变程度密切相关,同时术前IOL度数的确定及术者手术技术的熟练程度亦直接影响手术效果。
Objective To evaluate the clinical effect of phacoemulsification in cataract with high myopia.Methods32 cases（51eyes） of cataract with axial high myopia were included.The average of the eye ball axial length was 27.40 mm and the average diopter was（-13.7±0.92）DS,（-3.93±0.23）DC.Scleral tunnel incision and capsular bag phacoemulsification and posterior chamber intraocular lens implantation（IOL） were applied.The postoperative vision、diopter and complication were observed and patients were followed up for 3 monthes.Results3 month postoperative best-corrected visual acuity in 30 cases were more than 0.5,8 cases reached 1.0 and the average diopter was（-0.64±0.21）DS,（-0.98±0.37）DC;Postoperative complications included varying degrees of corneal edema and anterior chamber inflammation,which faded in one week.There were 6 eyes which had poposterior capsule opacification and after laser cut the vision elevated.ConclusionPhacoemulsification in treatment of cataract with high myopia is safe and effective.The effect of surgery is closely related with its own degree of retinopathy,identification of IOL degree and skilled surgical techniques are also a direct impact on the extent of the effect of surgery.
出处
《宁夏医科大学学报》
2010年第3期357-359,共3页
Journal of Ningxia Medical University
关键词
白内障
超声乳化
高度近视
cataract
phacoemulsification
high myopia
