安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2009年
8期
863-865
,共3页
王剑锋%李韵倩%代应辉%方丽%郁佳%王爱莲
王劍鋒%李韻倩%代應輝%方麗%鬱佳%王愛蓮
왕검봉%리운천%대응휘%방려%욱가%왕애련
超声乳化%白内障%负度数人工晶状体%超高度近视眼
超聲乳化%白內障%負度數人工晶狀體%超高度近視眼
초성유화%백내장%부도수인공정상체%초고도근시안
Phacoemulsification%Cataract%Negative-power intraocular lenses%Super high myopia
目的 观察超声乳化白内障吸除联合负度数人工晶状体植入术治疗白内障合并超高度近视的临床疗效.方法 对15例(26眼)白内障合并超高度近视眼患者,施行超声乳化白内障吸除联合负度数人工晶状体植入术,记录术前矫正视力、眼轴长度、屈光度数及其与预期屈光度数的偏差值,观察手术并发症和术后眼部情况.结果 术前眼轴长度30.12～35.76mm,平均为32.45mm.术中均顺利植入人工晶状体,无后囊破裂发生.植入屈光度数为-1.0～-6.0D,术后1周,24眼视力均有不同程度的提高,最佳矫正视力≥0.2共20眼(76.9%),其中≥0.5者共8眼(30.77%).2眼因严重的黄斑区网膜萎缩变性,视力无明显提高.术后屈光度数偏差值<±2.00 D共22眼(84.6%),<±1.00 D共14眼(53.8%).随访时间为3～24个月.后囊膜皱褶6眼,后发性白内障7眼,5眼行激光后囊膜切开术,无视网膜和脉络膜脱离发生,无眼压升高.4例单眼白内障患者中,1例出现双眼干扰症状.结论 超声乳化白内障吸除联合负度数人工晶状体植入既可以进行屈光矫正,又可以增加眼内组织的稳定性,减少视网膜脱离的发生,是治疗白内障合并超高度近视眼安全、有效的方法.
目的 觀察超聲乳化白內障吸除聯閤負度數人工晶狀體植入術治療白內障閤併超高度近視的臨床療效.方法 對15例(26眼)白內障閤併超高度近視眼患者,施行超聲乳化白內障吸除聯閤負度數人工晶狀體植入術,記錄術前矯正視力、眼軸長度、屈光度數及其與預期屈光度數的偏差值,觀察手術併髮癥和術後眼部情況.結果 術前眼軸長度30.12～35.76mm,平均為32.45mm.術中均順利植入人工晶狀體,無後囊破裂髮生.植入屈光度數為-1.0～-6.0D,術後1週,24眼視力均有不同程度的提高,最佳矯正視力≥0.2共20眼(76.9%),其中≥0.5者共8眼(30.77%).2眼因嚴重的黃斑區網膜萎縮變性,視力無明顯提高.術後屈光度數偏差值<±2.00 D共22眼(84.6%),<±1.00 D共14眼(53.8%).隨訪時間為3～24箇月.後囊膜皺褶6眼,後髮性白內障7眼,5眼行激光後囊膜切開術,無視網膜和脈絡膜脫離髮生,無眼壓升高.4例單眼白內障患者中,1例齣現雙眼榦擾癥狀.結論 超聲乳化白內障吸除聯閤負度數人工晶狀體植入既可以進行屈光矯正,又可以增加眼內組織的穩定性,減少視網膜脫離的髮生,是治療白內障閤併超高度近視眼安全、有效的方法.
목적 관찰초성유화백내장흡제연합부도수인공정상체식입술치료백내장합병초고도근시적림상료효.방법 대15례(26안)백내장합병초고도근시안환자,시행초성유화백내장흡제연합부도수인공정상체식입술,기록술전교정시력、안축장도、굴광도수급기여예기굴광도수적편차치,관찰수술병발증화술후안부정황.결과 술전안축장도30.12～35.76mm,평균위32.45mm.술중균순리식입인공정상체,무후낭파렬발생.식입굴광도수위-1.0～-6.0D,술후1주,24안시력균유불동정도적제고,최가교정시력≥0.2공20안(76.9%),기중≥0.5자공8안(30.77%).2안인엄중적황반구망막위축변성,시력무명현제고.술후굴광도수편차치<±2.00 D공22안(84.6%),<±1.00 D공14안(53.8%).수방시간위3～24개월.후낭막추습6안,후발성백내장7안,5안행격광후낭막절개술,무시망막화맥락막탈리발생,무안압승고.4례단안백내장환자중,1례출현쌍안간우증상.결론 초성유화백내장흡제연합부도수인공정상체식입기가이진행굴광교정,우가이증가안내조직적은정성,감소시망막탈리적발생,시치료백내장합병초고도근시안안전、유효적방법.
Objective To observe the clinical significance of phacoemulsification and implantation of negative-power posterior cham-ber intraocular lenses (IOL) in patients with super high myopia and cataract. Methods 15 cases (26 eyes) with super high myopic cataract were performed with phacoemulsification and negative intraocular lens implantation. Their preoperative corrected vision, axial length, postopera-tive visual acuity, refractive status, refractive error and complications were observed. Patients were followerd 3 to 24 months. Results The mean preoperative axial length was 30.12-35.76 mm. Lens with diopter (D)of-1.00-6.00D were implanted. Postoperative corrected visual acuity achieved 0.2 or better in 20 eyes(76.9%), 0.5 or better in 8 eyes (30.77%). Refractive error within 2.00D were in 22 eyes(84.6%), among them 14 eyes (53.8%) were within an error of 1.00D. No retinal or choroidal detachment was seen. Conclusion Phacoemulsification and implanta-tion of negative-power posterior chamber intraocular lenses (IOL) is safe and effective in patients with super high myopia and cataract. It can correct the refractive errors, meanwhile improve the stability of the tissue in eyeball and reduce the occurrence of retinal detachment.
