CAJ | 학술논문

目的：探讨超声乳化摘除及人工晶状体植入术在高度近视眼合并白内障患者中的临床疗效。 　　方法：选择2012-01/2013-12期间我院所收治的高度近视眼合并白内障患者82例96眼，随机将患者分为对照组40例46眼和研究组42例50眼，对照组患者采用小切口囊外摘除术及人工晶状体植入术进行治疗。研究组患者采用超声乳化摘除及人工晶状体植入术进行治疗。比较分析两组患者治疗后裸眼视力、最佳矫正视力以及术后角膜水肿、后囊混浊、眼压升高等并发症的发生情况，同时对研究组患者术后眼底情况进行检查。 　　结果：与对照组患者相比，研究组患者治疗后，0．1≤裸眼视力＜0．5，0．5≤裸眼视力＜1．0及1．0≤裸眼视力≤1．5的比率均有所增高，但差异不具有统计学意义（P＜0．05）。与对照组患者相比，研究组患者治疗后，0．1≤最佳矫正视力＜0．5的比率明显降低，仅为28％，0．5≤最佳矫正视力＜1．0及1．0≤最佳矫正视力≤1．5明显增高，可达58％和14％，差异均具有统计学意义（P＜0．05）。与对照组患者相比，研究组患者角膜水肿、后囊混浊以及眼压升高等并发症的发生率均有所降低，其中角膜水肿的发生率明显降低，差异具有统计学意义（P＜0．05）。 　　结论：超声乳化摘除及人工晶状体植入术治疗高度近视白内障对于高度近视白内障患者术后视力的提高，以及术后并发症的降低均具有积极的促进意义。
목적：탐토초성유화적제급인공정상체식입술재고도근시안합병백내장환자중적림상료효。 　　방법：선택2012-01/2013-12기간아원소수치적고도근시안합병백내장환자82례96안，수궤장환자분위대조조40례46안화연구조42례50안，대조조환자채용소절구낭외적제술급인공정상체식입술진행치료。연구조환자채용초성유화적제급인공정상체식입술진행치료。비교분석량조환자치료후라안시력、최가교정시력이급술후각막수종、후낭혼탁、안압승고등병발증적발생정황，동시대연구조환자술후안저정황진행검사。 　　결과：여대조조환자상비，연구조환자치료후，0．1≤라안시력＜0．5，0．5≤라안시력＜1．0급1．0≤라안시력≤1．5적비솔균유소증고，단차이불구유통계학의의（P＜0．05）。여대조조환자상비，연구조환자치료후，0．1≤최가교정시력＜0．5적비솔명현강저，부위28％，0．5≤최가교정시력＜1．0급1．0≤최가교정시력≤1．5명현증고，가체58％화14％，차이균구유통계학의의（P＜0．05）。여대조조환자상비，연구조환자각막수종、후낭혼탁이급안압승고등병발증적발생솔균유소강저，기중각막수종적발생솔명현강저，차이구유통계학의의（P＜0．05）。 　　결론：초성유화적제급인공정상체식입술치료고도근시백내장대우고도근시백내장환자술후시력적제고，이급술후병발증적강저균구유적겁적촉진의의。
AIM: To investigatethe clinical effects of phacoemulsification and intraocular lens implantation for high myopia combined with cataract. METHODS:Selected from January 2012 to December 2013, 82 patients (96 eyes) with high myopia combined with cataract in our hospital as study group.The patients were divided into control group and study group randomly.There were 40 patients ( 46 eyes ) in control group.There were 42 patients (50 eyes) in study group. The patients in control group were treated with small incision extracapsular cataract extraction and intraocular lens implantation. The patients in study group were treated with phacoemulsification and intraocular lens implantation.The visual acuity, best-corrected visual acuity and complications of corneal edema, posterior capsule opacification and increasing intraocular pressure of the patients in two groups were compared and analyzed.The patients'fundus stations were checked in study group after surgery. RESULTS:Compared with control group, the patients in study group after treatment, the ratio of uncorrected visual acuity from 0.1 to 0.5, 0.5 to 1.0, 1.0 to 1.5 were increased significantly. There was no statistically significant ( P<0.05).Compared with control group, the patients in study group after treatment, the ratio of best-corrected visual acuity from 0.1 to 0.5 was decreased significantly, only 28%, and the ratio of best-corrected visual acuity from 0.5 to 1.0 and 1.0 to 1.5 were increased significantly, up to 58% and 14%, there was statistically significant ( P<0.05).Compared with control group, the patients in study group the incidence of complications of corneal edema, posterior capsule opacification and intraocular pressure were decreased, and the incidence of corneal edema was increased significantly, there was statistically significant (P<0.05). CONCLUSION:Phacoemulsification and intraocular lens implantation has positively significant for improving best-corrected visual acuity effectively and reducing complications of the patients with high myopia combined with cataract.