CAJ | 학술논문

目的探讨高度近患者白内障表面麻醉下超声乳化人工晶状体植入术的安全性及疗效.方法对59例(71眼)高度近视合并白内障进行表面麻醉下超声乳化人工晶状体植入术,观察术中疼痛感、并发症及手术效果.结果 61眼(85.92％)无疼痛、6眼(8.45％)有轻微胀痛、4眼(5.63％)感胀痛,1眼发生后囊破裂,无视网膜脱离发生.术后3个月视力0.3以上者占67.6％,0.5及以上者占36.6％.结论表面麻醉下高度近视行白内障超声乳化及人工晶状体植入术疗效可靠、并发症少.
목적 탐토고도근환자백내장표면마취하초성유화인공정상체식입술적안전성급료효.방법 대59례(71안)고도근시합병백내장진행표면마취하초성유화인공정상체식입술,관찰술중동통감、병발증급수술효과.결과 61안(85.92％)무동통、6안(8.45％)유경미창통、4안(5.63％)감창통,1안발생후낭파렬,무시망막탈리발생.술후3개월시력0.3이상자점67.6％,0.5급이상자점36.6％.결론 표면마취하고도근시행백내장초성유화급인공정상체식입술료효가고、병발증소.
Objective To explore the efficacy of topical anesthesia in phacoemulsification and intraocular lens implantation for high myopia.Methods 59 cases(71 eyes) of high myopia combined with cataract underwent phacoemulsification and intraocular lens implantation under topical anesthesia.Intraoperative complaints,surgical complications and clinical efficacy were observed.Results There were no pain in 61 eyes(85.92％ ),slight pain in 6 eyes(8.45％ ) and mild pain in 4 eyes(5.63％ ).Posterior capsular rupture occurred in one eye.No retinal detachment were found.The visual acuities were at ＞ 0.3 accounting for 67.6％ and at ＞ 0.5 accounting for 36.6％ at 3 months after the operation.Conclusion Phacoemulsification with intraocular lens implantation for high myopia under topic anesthesia is reliable and effective with less complications.