目的:评价高度近视超声乳化摘除+后房型人工晶状体植入术后疗效。方法:患者145例(56例透明晶状体,89例合并白内障),平均年龄55岁;术前裸眼视力<0.1者139例,0.1～0.3者6例;矫正视力<0.1者21例,0.1～0.3者42例,0.3～0.5者47例,≥0.5者35例。所有病例均局部麻醉下行超声乳化+后房型人工晶状体植入术。结果:术中后囊膜破裂4例,术后一过性角膜水肿19例,术后6mo内发生视网膜脱离2例,后发性白内障3例;术后3mo裸眼视力<0.1者9例,0.1～0.3者49例,0.3～0.5者40例,≥0.5者47例;术后3mo矫正视力0.1～0.3者28例,0.3～0.5者38例,≥0.5者79例。结论:高度近视超声乳化人工晶状体植入术治疗高度近视视力恢复快,安全有效,但要注意术前和患者交代视近物困难,尤其是<50岁的患者,及长期从事近距离工作的患者。同时,选择患者时应注意避免精神高度紧张患者。另外,要告知患者术后视网膜脱离发生可能性增加。

·AIM:To evaluate the effect of high myopia phacoemulsification and intraocular lens implantation.·METHODS:Totally 145 patients(56 cases of transparent crystal,89 cases of cataract),average age was 55 years old;preoperative visual acuity <0.1 in 139 cases,0.1-0.3 in 6 cases;corrected visual acuity <0.1 in 21 cases,0.1-0.3 in 42 cases,0.3-0.5 in 47 cases,≥0.5 in 35 cases.After local anesthesia,phacoemulsification with posterior chamber intraocular lens implantation was performed in all cases.·RESULTS:Posterior capsule rupture of intraoperative were in 4 cases,and the complications included corneal edema in 19 cases;within 6 months after operation,retinal detachment was in 2 cases and after cataract in 3 cases;3 months after operation,visual acuity <0.1 was in 9 cases,0.1-0.3 in 49 cases,0.3-0.5 in 40 cases,≥0.5 in 47 cases;and the corrected visual acuity of 0.1-0.3 was in 28 cases,0.3-0.5 in 38 cases,≥0.5 in 79 cases.·CONCLUSION:Phacoemulsification combined with intraocular lens implantation has the faster visual recovery,great safety and effect.Before surgery patients should be explained the difficulties of near vision,particularly for patients younger than 50 years olds and long-term near work.Meanwhile,the selection of patients should avoid patients with high degree mental stress.Moreover,patients should be informed with the increased likelihood of retinal detachment after operation.·

R779.6