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超高度近视眼白内障超声乳化手术的探讨

Study on Phacoemulsification in Treatment of Extremely High Myopia Cataract
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摘要 目的探讨超高度近视眼白内障行超声乳化吸出联合后房型人工晶体植入术的效果。方法该研究于2011年1月—2014年4月对150例(183只眼)超高度近视眼白内障均采用超声乳化摘除晶状体并行后房型折叠式人工晶体囊袋内植入。随访6~12个月,观察术后视力、眼压、人工晶体位置及并发症等。结果 150例(183只眼)完成手术,眼内反应及眼压均在治疗后恢复正常。术后末次随访,视力0.04~0.2者30只眼(16.4%),0.25~0.5者102只眼(55.7%),0.6~0.8者51只眼(27.9%)。所有术眼均未出现严重并发症。结论超高度近视眼白内障超声乳化手术操作复杂,术后视力难预测。需术前详细眼部检查,术中术后合理处理,才能取得满意的效果。 Objective To study the effect of phacoemulsification combined with implantable collamer lensin treatment of extremely high myopia cataract. Methods 150 cases( 183 eyes) of patients with extremely high myopia cataract admitted and treated from January 2011 to April 2014 were treated with phacoemulsification and pouch implantation of posterior chamber foldable intraocular lens, and the patients were followed up for 6-12 months, and the postoperative vision, eye pressure, intraocular lens site and complications were observed. Results Of 150 cases(183 eyes) finished the surgery, and the intraocular reaction and eye pressure returned to normal after treatment, and the final follow-up showed that: vision 0.04-0.2 in 30 eyes(16.4%), 0.25-0.5 in 102 eyes(55.7%), 0.6-0.8 in 51 eyes(27.9%), and all operative eyes had no serious complications. Conclusion The operation of phacoemulsification in treatment of extremely high myopia cataract is complex, and the postoperative vision is difficult to predict, and we should conduct the eye examination before surgery and conduct the rational treatment after surgery, only in this way can we obtain a satisfactory effect.
作者 杨志伟 张旭永 YANG Zhi-wei;ZHANG Xu-yong(Ordos Eye Hospital,Ordos,Inner Mongolia,017000 China)
出处 《系统医学》 2018年第10期27-29,共3页 Systems Medicine
关键词 超高度近视眼 白内障 超声乳化 Extremely high myopia Cataract Phacoemulsification
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