李忠民, 张健, 吴峰, 朱俊卿. 轴性高度近视合并白内障超声乳化术22例临床观察[J]. 蚌埠医科大学学报, 2013, 37(7): 856-858.
    引用本文: 李忠民, 张健, 吴峰, 朱俊卿. 轴性高度近视合并白内障超声乳化术22例临床观察[J]. 蚌埠医科大学学报, 2013, 37(7): 856-858.
    LI Zhong-min, ZHANG Jian, WU Feng, ZHU Jun-qing. Phacoemulsfication for axial high myopia combined with cataract:report of 22 cases[J]. Journal of Bengbu Medical University, 2013, 37(7): 856-858.
    Citation: LI Zhong-min, ZHANG Jian, WU Feng, ZHU Jun-qing. Phacoemulsfication for axial high myopia combined with cataract:report of 22 cases[J]. Journal of Bengbu Medical University, 2013, 37(7): 856-858.

    轴性高度近视合并白内障超声乳化术22例临床观察

    Phacoemulsfication for axial high myopia combined with cataract:report of 22 cases

    • 摘要: 目的:观察轴性高度近视合并白内障行超声乳化吸除联合人工晶体植入术的临床疗效。方法:表面麻醉下对22例38眼轴性高度近视合并白内障患者施行超声乳化白内障吸除联合人工晶体植入术,记录术前矫正视力、眼轴长度,观察术中疼痛感、术后眼部情况和并发症,以及屈光度及其预期屈光度数的偏差值。结果:术前眼轴长度26.11~31.28 mm,植入人工晶体度数0D~+15D,术中34眼无疼痛感,4眼轻微胀痛,后囊膜破裂2眼。术后3个月,最佳矫正视力0.1~0.4者19眼,0.5者18眼。结论:轴性高度近视合并白内障患者采用表面麻醉超声乳化吸除联合人工晶体植入术治疗,能有效改善患者视力,是一种安全手术方式。

       

      Abstract: Objective: To evaluate the effect of phacoemulsfication and intraocular lens implantation on axial high myopic patients combined with cataract.Methods:Twenty-two patients (38 eyes) with axial high myopia complicated by cataract received phacoemulsfication and implantation of intraocular soft lens under topical anesthesia.The preoperative corrected visual acuity and axial length were recorded; the pain during operation,postoperative effect and complication,and the diopter and expectancy bias of diopter were observed.Results:The preoperative axial length was 26.11 ~ 31.28 mm and the intraocular lens degree was 0D ~ + 15D.During the operation,34 eyes felt no pain,4 eyes a little distending pain and 2 eyes had posterior capsule rupture.Three months after the operation,19 eyes reached a corrected visual acuity of 0.1 ~ 0.4 and 18 eyes more than 0.5.Conclusions:Phacoemulsfication along with intraocular lens implantation under topical anesthesia is a safe and effective procedure for improving the visual acuity of patients with axial high myopia combined with cataract.

       

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