【摘要】 目的　评价高度近视白内障超声乳化吸出及人工晶状体植入术的效果。方法　眼轴>26mm的高度近视合并白内障74例(102眼)。其中Ⅱ级核4眼,Ⅲ级核78眼,Ⅳ级核14眼,V级核6眼,施行超声乳化吸出及人工晶状体植入术。结果　术后1月裸眼视力≥0.5者53眼(51.96％);矫正视力≥0.5者70眼(68.63％)。并发症主要包括后囊破裂4眼(3.92％)。角膜水肿7眼(6.86％),视网膜脱离2眼(1.96％),后囊不同程度浑浊6眼(5.88％)。结论　超声乳化联合人工晶状体植入术适合于高度近视合并白内障的患者,但对棕色或黑色的V级核应慎重考虑其术式,以减少术中并发症的发生。更多还原

【Abstract】 Objective To assess the therapeutic effect of phacoemulsification with intraocular lens(IOL) implantation for cataract with hight myopoa.Methods Phacoemulsification with IOL implantation was done on 74 cases(102 eyes) suffered from cataract and high myopia with long axial length( > 26.00 mm) .The nucleus hardness was Grade Ⅱ in 4 eyes, Grads Ⅲin 78 eyes,Grade Ⅳ in 14 eyes,Grade V in 6 eyes.Results At one month after operation 53 eyes(51.96% ) attained uncorrected visual acuity of 0.5 or better,70 eyes(68.63%) attained corrected visual acuity of 0.5 or better. Complications included posterior capsular rupture in 4 eyes(3 .92%), corneal edema in 7 eyes(6.86% ), retinal detachment in 2 eyes (1. 96 %) and posterior capsular opacity in 6 eyes (5.88%). Conclusion Phacoemulsification with IOL implantation is suitable for the patients with cataract with high myopia. The operative methods should be chosen carefully for cataract of Grade V nucleus in order to reduce the intraoperative complication.更多还原