CAJ | 학술논문

目的：对高度近视白内障采用小切口非超声乳化白内障摘除人工晶体状植入治疗的临床疗效进行观察。 　　方法：选取高度近视合并白内障患者74例78眼，随机分为对照组与观察组各37例39眼，对照组行白内障超声乳化吸除人工晶状体植入术，观察组行小切口非超声乳化白内障摘除人工晶体状植入，对治疗效果进行分析。 　　结果：两组治疗后裸眼视力为0.5及以上者比例与矫正视力为0.5及以上者比例无显著差异，治疗后眼压均显著降低且两组间对比无显著差异；观察组术中及术后并发症发生率均显著低于对照组，伤口愈合时间显著短于对照组。结论：小切口非超声乳化白内障摘除人工晶体状植入治疗高度近视白内障疗效显著，并发症发生率低，值得在临床中推广。
목적：대고도근시백내장채용소절구비초성유화백내장적제인공정체상식입치료적림상료효진행관찰。 　　방법：선취고도근시합병백내장환자74례78안，수궤분위대조조여관찰조각37례39안，대조조행백내장초성유화흡제인공정상체식입술，관찰조행소절구비초성유화백내장적제인공정체상식입，대치료효과진행분석。 　　결과：량조치료후라안시력위0.5급이상자비례여교정시력위0.5급이상자비례무현저차이，치료후안압균현저강저차량조간대비무현저차이；관찰조술중급술후병발증발생솔균현저저우대조조，상구유합시간현저단우대조조。결론：소절구비초성유화백내장적제인공정체상식입치료고도근시백내장료효현저，병발증발생솔저，치득재림상중추엄。
AIM:To analyze clinical curative effect of small incision non - phacoemulsification cataract extraction and intraocular lens implantation in the treatment of the high myopia with cataract. METHODS:Seven-four cases (78 eyes) of patients with high myopia and cataract were randomly divided into control group and observation group, 37 cases (39 eyes) in each group. The control group underwent cataract phacoemulsification and intraocular lens implantation, the observation group received small incision non -phacoemulsification cataract extraction and intraocular lens implantation. The treatment effect was analyzed. RESULTS: After treatment, there was no significant difference in the ratio uncorrected visual acuity of 0. 5 and above in two groups. IOP was significantly decreased in two groups after treatment with no significant difference. Intraoperative and postoperative complications in observation group were significantly lower than that in control group. Wound healing time of observation group was significantly shorter than that of the control group.CONCLUSION:Small incision non-phacoemulsification cataract extraction and intraocular lens implantation in the treatment of high myopia with cataract has significant effect, lower complication rate, and is worthy of promotion in clinical.