【摘要】 目的　研究前房负镜植入矫正高度近视的临床效果。方法　共选择 11例高度近视患者 ,共 2 0只眼。屈光度数最高 - 2 9D,最低 - 9.4 5 D。术前进行眼轴长度、前房深度、角膜直径、角膜内皮计数、裸眼视力、矫正视力检查。计算人工晶状体度数。然后显微手术操作 ,植入前房型人工晶状体。术后随访观察裸眼视力、最佳矫正视力、眼压、角膜内皮计数、前房反应、人工晶状体位置、瞳孔对光反射等。结果　术后 6月平均裸眼视力 0 .7,矫正视力0 .86。取得满意的临床效果。术后主要并发症是高眼压、葡萄膜反应 ,术后第一天出现 ,通过药物治疗 ,很快控制。结论　前房负镜植入矫正高度近视 ,尤其是高于 - 12 D的超高度近视 ,临床效果令人满意 ,术后并发症多为术后短期出现 ,及时治疗 ,不影响预后视力的改善更多还原

【Abstract】 Objective To investigate the theraphy effect of phackic anterior chamber intraocular lens implantation to correct very high myopia.Method 11 patients(20 eyes)with -9.45D～29D very high myopia were selected.Ocular length,corneal diameter,corneal endothelium cell counts,diopter were measured for PACLs select.During the surgery,the PACLs were implanted into anterior.During more than 6 months follow-up period.We observed the uncorrected/corrected visual acuity,introcular impresure,corneal endothelium cell counts,anterior chamber flare,PACLs position and pupil reflex.Results 6 months after surgery,Of all the patients,the average UCVA is 0.7 and CVA is 0.86.Several temporary complication such as high IOP was managed in time,and not affect visual acuity.Conclusion PACLs implantation to anterior chamber to correct very high myopia have a satisfied clinical therapy effect.更多还原