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目的:评价高度近视白内障超声乳化摘除及人工晶体植入术的临床疗效。方法:对眼轴>26mm的84例(112只眼)高度近视并发白内障患者,其中级核4只眼,级核81只眼,级核18只眼,级核9只眼,施行超声乳化摘除及人工晶体植入术。结果:术后1个月裸眼视力≥0.5者57只眼(50.89%);矫正视力≥0.5者74只眼(66.07%)。并发症主要包括后囊膜破裂4只眼(3.58%),角膜水肿6只眼(5.36%),视网膜脱离2只眼(1.79%),后囊膜不同程度混浊5只眼(4.46%)。结论:超声乳化联合人工晶体植入术适合于高度近视并发白内障的患者。但对棕色或黑色的级核应慎重考虑其术式,以减少术中并发症的发生。
Objective: To evaluate the clinical effect of phacoemulsification and intraocular lens implantation in highly myopic cataract. Methods: Eighty-four patients (112 eyes) with high myopia and axial cataract with axial length> 26mm were examined by phacoemulsification with 4 eyes of intermediate nucleus, 81 nucleus of nucleus, 18 nucleus of nucleus and 9 nucleus of nucleus. And artificial lens implantation. Results: One month after operation, 57 eyes (50.89%) had uncorrected visual acuity ≥0.5; 74 eyes (66.07%) had corrected visual acuity ≥0.5. Complications included posterior capsule rupture in 4 eyes (3.58%), corneal edema in 6 eyes (5.36%), retinal detachment in 2 eyes (1.79%), posterior capsular opacification in 5 eyes (4.46%). Conclusion: Phacoemulsification combined with intraocular lens implantation is suitable for patients with high myopia complicated with cataract. However, brown or black level nuclear should be carefully considered its surgical procedures to reduce the incidence of intraoperative complications.