摘要
对31例(38只眼)眼轴超过26mm的高度近视白内障施行囊外摘出一期后房型人工晶体植入术。经随访,裸眼视力>0.5者占65.8％;近视力>0.5者占86.8％;矫正视力>1.O者占52.6％。结果表明高度近视患行的白内障,若术前测定视网膜视力>0.5者,施行囊外摘出及人工晶体植入术后,获得正常视力是可能的。文中介绍了人工晶体度数的选择和手术方法,并对手术适应证和并发症的处理作了阐述。
Extracapsular cataract extraction (ECCE) with primary posterior chamber intraocular lens (IOL) implantation was performed on 31 cases (38 eyes)of cataract with high myopia of axial length over 26mm and preoperative retinal visual acuity of ≥0.5. They were followed up for 3～26 months. Postoperative visual acuity s. c. was ≥0.5 in 65.8％ of the eyes and visual acuity c.c. was ≥0.5 in 92.1％ and 1.0～1.5 in 52.6％ of the eyes. The results showed that it was fairly possible for cataract patients with high myopia to obtain normal vision after ECCE and IOL implantation when the preoperative retinal acuity was ≥0.5. The calculation of lens power and surgical procedures were described, and the indications for the operation and the managements of complications were discussed as well.
出处
《眼科》
CAS
1993年第1期31-34,61,共5页
Ophthalmology in China
