目的:探讨白内障手术对伴有年龄相关黄斑变性(agerelated macular degeneration,AMD)的白内障患者的治疗效果,评价手术的价值。方法:对31例37眼同时伴有AMD的白内障患者行超声乳化人工晶状体植入术,术后随访3～6mo,分析其临床效果。结果:术后所有患者的视力均有不同程度的提高,其中指数2眼(5%),0.01～0.08者11眼(30%),0.1～0.2者12眼(32%),0.3者8眼(22%),0.4～0.5者4眼(11%);术后有1眼(3%)AMD病变加重,为湿性AMD。结论:对于同时伴有AMD的白内障患者,综合考虑其黄斑和晶状体情况,在白内障严重影响视力的情况下,为了提高患者的生活质量,应该积极地进行白内障手术。

AIM:To study and assess the effects of cataract surgery in patients with cataract and age-related macular degeneration(AMD).METHODS:Thirty-seven eyes of 31 patients with cataract and AMD who received the phacoemulsification with intraocular lens implantation were followed up for 3-6 months.RESULTS:All patients had improvement in visual acuity:2 eyes(5%) got counting fingers,11 eyes(30%) got 0.01-0.08,12 eyes(32%) got 0.1-0.2,8 eyes(22%) got 0.3,4 eyes(11%) got 0.4-0.5.1 eye(3%) had wet AMD which macular degeneration got worse.CONCLUSION:In patients with cataract and AMD,cataract surgery is necessary for the improvement of life quality when the visual acuity is affected by cataract.

R779.66