CAJ | 학술논문

目的探讨超声乳化+植入人工晶体治疗超高度近视合并白内障的临床效果.方法对62例(87眼)超高度近视合并白内障的患者施行白内障超声乳化联合人工晶体植入术.结果术后3个月,眼轴在27~30mm有52眼,其中视力≥1.0者8眼(15.38%),视力≥0.5者27眼(51.92%),视力≥0.1者16眼(30.76%),视力<0.1者1眼(1.92%);眼轴在>30 mm有35眼,其中视力≥1.0者3眼(8.60%),视力≥0.5者9眼(25.71%),视力≥0.1者21眼(60.00%),视力<0.1者2眼(5.71%),二者有明显差异.结论超高度近视合并白内障施行白内障超声乳化+人工晶体植入术具有术后视力恢复快,但恢复程度与眼轴长度及眼底病变有直接关系.
목적탐토초성유화+식입인공정체치료초고도근시합병백내장적림상효과.방법대62례(87안)초고도근시합병백내장적환자시행백내장초성유화연합인공정체식입술.결과술후3개월,안축재27~30mm유52안,기중시력≥1.0자8안(15.38%),시력≥0.5자27안(51.92%),시력≥0.1자16안(30.76%),시력<0.1자1안(1.92%);안축재>30 mm유35안,기중시력≥1.0자3안(8.60%),시력≥0.5자9안(25.71%),시력≥0.1자21안(60.00%),시력<0.1자2안(5.71%),이자유명현차이.결론초고도근시합병백내장시행백내장초성유화+인공정체식입술구유술후시력회복쾌,단회복정도여안축장도급안저병변유직접관계.
Objective To investigate the clinical effect of using phacoemulsification and artificial lens implantation to treat extreme myopia with cataract. Methods Perform phacoemulsification and artificial lens implantation on 62 patients (87 eyes) with extreme myopia and cataract. Results Eyes are divided into two groups. The first group is made up of 52 eyes, the axial length of which is within 27-30 mm. The second group is made up of 35 eyes, the axial length of which exceeds 30 mm. Three months after surgery, 8 eyes (15.38%) in the first group have vision≥1.0, 27 eyes (51.92%) have vision≥0.5, 16 eyes (30.76%) have vision≥0.1, only 1 eye (1.92%) has vision<0.1;In the second group, 3 eyes (8.6%) have vision≥1.0, 9 eyes (25.71%) have vision≥0.5, 21 eyes (60.00%) have vision≥0.1, 2 eyes (5.71%) have vision<0.1. Significant difference exists between two groups. Conclusion The vision of all patients with extreme myopia and cataract enjoy recovery after the surgery of phacoemulsification and artificial lens implantation, while the recovery level depends on the axial length and retinopathy.