CAJ | 학술논문

目的观察超长眼轴高度近视白内障超声乳化手术的疗效.方法对37例50眼超长眼轴高度近视白内障患者进行超声乳化手术.术中透明角膜切口下充分水分离白内障核后,用劈核勾把晶体核勾起至虹膜面进行劈核,再用45%～50%的能量,80～100mmHg负压进行乳化吸除,抛光后囊膜,观察术后视力、术后反应、并发症及用药情况.结果本组病例术后两天矫正视力≥0.5眼者25眼占50%,术后1个月矫正视力0.05以上者45眼,占90%;术后角膜内皮轻度水肿5眼,占10%;后囊混浊6眼,占12%.结论观察超长眼轴高度近视白内障超声乳化手术脱盲率达90%,角膜水肿发生率低,达到良好手术效果,且视力不良者与眼底病变、斜视、弱视有关.
목적 관찰초장안축고도근시백내장초성유화수술적료효.방법 대37례50안초장안축고도근시백내장환자진행초성유화수술.술중투명각막절구하충분수분리백내장핵후,용벽핵구파정체핵구기지홍막면진행벽핵,재용45%～50%적능량,80～100mmHg부압진행유화흡제,포광후낭막,관찰술후시력、술후반응、병발증급용약정황.결과 본조병례술후량천교정시력≥0.5안자25안점50%,술후1개월교정시력0.05이상자45안,점90%;술후각막내피경도수종5안,점10%;후낭혼탁6안,점12%.결론 관찰초장안축고도근시백내장초성유화수술탈맹솔체90%,각막수종발생솔저,체도량호수술효과,차시력불량자여안저병변、사시、약시유관.
Objective To observe the effect of phacoemulsification for super-long axial length of high myopia with cataract.Methods 37 cases(50 eyes)of super-long axial length of high myopia with cataract were treated with phacoemulsification.In the operation,cataract nucleus was water separated through clear corneal incision,the lens nucleus was pulled out to iris face and chopped,and then the cataract nucleus was emulsified with 45-50% energy and 80-100mmhg negative pressure;polished posterior capsular.Postoperative visual acuity,postoperative reaction,complications and situation of medication were observed.Results The corrected visual acuity≥0.5 was in 25 eyes(50%)at two days after operation;the corrected visual acuity over 0.05 was in 45 eyes(90%)in one month after operation,corneal edema in 5 eyes(10%)and posterior capsule opacification in 6 eyes(12%).Conclusion The out of blindness rate is 90% after phacoemulsification for super-long axial length of high myopia with cataract;the incidence of comeal edema is lower,can obtain good surgical effect.The poor vision is related to fundus diseases,strabismus and amblyopia.