CAJ | 학술논문

目的观察超声乳化白内障吸除及人工晶状体植入术治疗超高度近视合并白内障的临床效果.方法对50例(83只眼)超高度近视合并白内障患者在白内障超声乳化人工晶状体植人手术前、手术后3个月进行眼部检查并使用25项改良美国国家眼科研究所视觉功能问卷调查,了解患者手术前后视觉功能、日常生活和总体情况.结果超高度近视合并白内障患者经超声乳化白内障吸除及人工晶状体植入术后在远视力,暗视力,社交能力,精神状况,自信力和色觉状况等六个方面明显改善,但在近视力方面满意度明显下降.总体满意度从术前的29.37±4.58提高到术后3个月的64.54±3.57(t =-39.63,P=0.00).结论超高度近视合并白内障患者对超声乳化白内障吸除及人工晶状体植入术的满意度高,手术能极大地提高生存质量,值得推广运用.
목적 관찰초성유화백내장흡제급인공정상체식입술치료초고도근시합병백내장적림상효과.방법 대50례(83지안)초고도근시합병백내장환자재백내장초성유화인공정상체식인수술전、수술후3개월진행안부검사병사용25항개량미국국가안과연구소시각공능문권조사,료해환자수술전후시각공능、일상생활화총체정황.결과 초고도근시합병백내장환자경초성유화백내장흡제급인공정상체식입술후재원시력,암시력,사교능력,정신상황,자신력화색각상황등륙개방면명현개선,단재근시력방면만의도명현하강.총체만의도종술전적29.37±4.58제고도술후3개월적64.54±3.57(t =-39.63,P=0.00).결론 초고도근시합병백내장환자대초성유화백내장흡제급인공정상체식입술적만의도고,수술능겁대지제고생존질량,치득추엄운용.
Objective To observe the clinical effect of phacoemulsification and intraocular lens implantation in treating cataract patients with super high myopia. Methods Fifty patients (83 eyes) were enrolled to learn their VA,daily life and general situation before surgery and 3 months later with application of 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ25). Results Items including distant vision,scotopic vision,sociability,psychosis,self-confidence and color discrimination obviously improved after cataract surgery,but the degree of satisfaction in near vision dramatically declined.The overall satisfaction increased from 29.37±4.58 before surgery to 64.54±3.57 in 3 months after surgery (t =-39.63,P =0.00). Conclusions The cataract patients with super high myopia feel highly satisfied with phacoemulsification and intraocular lens implantation surgery.The surgery can greatly increase the quality of life in cataract patients with super high myopia.The surgery deserves to be spread and applied in cataract patients with super high myopia.