个体化选择人工晶状体度数矫正超高度近视白内障超声乳化术后无晶状体眼临床观察

摘要

目的 探讨超高度近视(≥-12.00 D)合并白内障患者在超声乳化吸除术后植入个体化选择度数的人工晶状体并观察其临床疗效.方法 共58例(76只眼)合并超高度近视的白内障病例,术前根据患者年龄、阅读习惯、工作需要、近视程度、对侧眼的屈光状态、眼底病变程度等因素,个体化选择合适的人工晶状体度数.在完成超声乳化白内障吸除术后同期植入.术后观察患者最佳矫正视力、屈光度数和手术并发症.结果 术后最佳矫正视力≥0.3者33只眼(43%),≥0.5者23只眼(30%).脱盲率79%.术后屈光度数偏差值＜±0.50 D者51只眼(67%);±0.50 D＜术后屈光度数偏差值＜±1.00 D者22只眼(29%),±1.00 D＜术后屈光度数偏差值＜±2.00 D者3只眼(4%).无后囊膜破裂、视网膜和脉络膜脱离等并发症发生.结论 超高度近视白内障患者超声乳化术后,植入个体化选择度数合适的人工晶状体,能有效改善患者的视力,帮助患者有针对性的提高工作生活质量.%Objective To discuss individual diopter-selected intraocular lens (IOL) and the clinic effect of the IOL implantation in Phacoemulsification for super high myopia ( ≥ -12.00D) cataract. Methods Phacoemulsification with im-plantation of low power IOL was performed in 58 patients (76 eyes). The best corrected visual acuity ( BCVA, diopter and complications were observed. Results The BCVA was ≥0. 3 in 33 eyes (43% ) , ≥0. 5 in 23 eyes (30% ). The after di-opter deviation was < ±0.50 D in of 51 eyes, >±0.50Dand < ±1.00 D in 22 eyes, > ±1.00 D and <±2.00Din 3 eyes. No posterior capsular rupture , retinal detachment and choroidal detachment occurred . Conclusion Phacoemulsifi-cation with implantation of individual diopter -selected IOL in super high myopia cataract can improve vision effectively and life quality.