CAJ | 학술논문

目的探讨超高度近视老年性白内障患者超声乳化及个体化人工晶状体植入术的临床疗效.方法超高度近视老年性白内障患者36例(49眼),行超声乳化及个体化选择人工晶状体度数植入,术后观察患者裸眼远近视力、最佳矫正视力、屈光度及手术并发症.结果所有手术眼术后视力均有不同程度提高,术后裸眼远视力在0.05 ～ 0.30,裸眼近视力在0.02～0.50.最佳矫正视力0.31 ～ 0.40者22眼(44.9％,22/49),≥0.50者14眼(28.6％,14/49).术后屈光度＜-1.00 D者3眼,-1.00-2.00 D者16眼,-2.01-3.00 D者27眼,＞-3.00 D者3眼.与目标屈光度差别＜±0.50 D者21眼,±0.50 D～±1.00 D者18眼,＞±1.00 D者10眼.术后角膜水肿28眼,均在1周至3个月内完全消退,未见视网膜脱离及角膜失代偿等严重并发症.结论超高度近视老年性白内障患者行超声乳化及个体化选择人工晶状体植入术后,视力改善理想,临床疗效好.
목적 탐토초고도근시노년성백내장환자초성유화급개체화인공정상체식입술적림상료효.방법 초고도근시노년성백내장환자36례(49안),행초성유화급개체화선택인공정상체도수식입,술후관찰환자라안원근시력、최가교정시력、굴광도급수술병발증.결과 소유수술안술후시력균유불동정도제고,술후라안원시력재0.05 ～ 0.30,라안근시력재0.02～0.50.최가교정시력0.31 ～ 0.40자22안(44.9％,22/49),≥0.50자14안(28.6％,14/49).술후굴광도＜-1.00 D자3안,-1.00-2.00 D자16안,-2.01-3.00 D자27안,＞-3.00 D자3안.여목표굴광도차별＜±0.50 D자21안,±0.50 D～±1.00 D자18안,＞±1.00 D자10안.술후각막수종28안,균재1주지3개월내완전소퇴,미견시망막탈리급각막실대상등엄중병발증.결론 초고도근시노년성백내장환자행초성유화급개체화선택인공정상체식입술후,시력개선이상,림상료효호.
Objective To investigate the clinical effect of phacoemulsification and individualized intraocular lens implantation in senile cataract patients with super high myopia.Methods Thirty-six cases of senile cataract patients with super high myopia with 49 eyes underwent phacoemulsification and individualized intraocular lens implantation,postoperative uncorrected distance visual acuity,best corrected visual acuity,diopter and surgical complications were observed.Results All surgical eyes visual acuity had improved to varying degrees,the postoperative far visual acuity in 0.05-0.30,the near visual acuity in 0.02-0.50,best corrected visual acuity 0.31-0.40 in 22 eyes (44.9％,22/49),≥ 0.5 in 14 eyes (28.6％,14/49).The postoperative diopter ＜-1.00 D in 3 eyes,-1.00 to-2.00 D in 16 eyes,-2.01 to-3.00 D in 27 eyes,and ＞-3.00 D in 3 eyes.Diopter difference with the goal ＜ ± 0.50 D in 21 eyes,± 0.50 D to ± 1.00 D in 18 eyes,＞ ± 1.00 D in 10 eyes.Postoperative corneal edema in 28 eyes,were completely disappeared within 1 week to 3 months,no retinal detachment and corneal decompensation and other serious complications.Conclusion Senile cataract patients with super high myopia are treated with phacoemulsification and individualized intraocular lens implantation,visions improve ideal and have good clinical efficacy.