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1、探析矫正高度近视两种眼内屈光手术临床效果【摘要】目的：探讨超高度近视后房型人工晶体手术与透明晶状体切除联合后房型人工晶状体植入术矫正高度近视的临床效果。方法：系统回顾性研究近一年内在本院接受矫正超高度近视眼患者23例（45只眼）。将所有患者随机分为A、B组，A组8例（15只眼），为晶体眼后房型人工晶体手术植入患者，B组15例（30只眼），为透明晶状体超声乳化摘除及低度数或负度数人工晶状体囊袋内植入患者。分别在术后第3、6、12个月，观察两组患者视力、屈光度、角膜内皮细胞计数、眼压、前房反应、后发性白内障及视网膜并发症等方面的变化情况
2、。结果：所有手术没有医源性事故发生。术后12个月裸眼视力$0.5：A组11眼（73.3%）,B组19眼（63.3%）,两组差异无统计学意义（P>0.05）。手术主要并发症：A组中于术后24h内髙眼压2眼，平均角膜内皮细胞丢失率为4.2%oB组术后12个月行YAG激光后囊切开3只眼，未发生视网膜脱离。两组均有主诉夜间眩光症状，B组视近困难者6例。结论：两种手术临床疗效无明显差异，但需充分做好术前沟通及术前全面细致的眼部检查和评估。超高度近视行眼内屈光手术，是一种安全、有效、稳定性好的治疗方法，值得推广。【关键词】超高度近视；后房型人工
3、晶体手术；透明晶状体置换ClinicalEffectofTwoKindsofIntraocularRefractiveOperationtoCorrectHighMyopia/LIYu-wen,WUBao-hua,WUPeng-cheng,etol.//MedicalInnovationofChina,2014,11(12)：074-076[Abstract】Objective：Toinvestigatetheclinicaleffectofsuperhighmyopiaafterposteriorchamberintraocula
4、rlensoperationandtransparentlensectomycombinedintraocularshapedbodyimplantationforthecorrectionofhighmyopia.Method:Asystemofretrospectivestudyfornearlyayearinthishospitalforcorrectionofhighmyopiain23cases(45eyes),allpatientswererandomlydividedintothegroupAandthegroupB:
5、thegroupAwithcrystaleyesafterintraocularlensimplantationoperationin8cases(15eyes),thegroupBoftransparentlensphacoemu1sificationandlowornegativepowerintraocularlenscapsularbagimplantationin15cases(30eyes)・Thechangeswererespectivelyobservedafterthree,six,twelvemonthsinvi
6、sualacuity,diopter，cornealendothelialcellcount,intraocularpressure,anteriorchamberreaction,aftercataractandretinalcomplicationetc.ResuIt:Therewerenoiatrogenicaccidentafteroperation；twelvemonthsaftersurgery,visualacuitywasgreaterthanorequalto0.5：groupAhad11eyes(73.3%),g
7、roupBhad19eyes(63.3%),therewasnosignificantdiffereneebetweenthetwogroups(P>0.05).0pera.tioncomplies.tions：highIOPwasobservedin2eyesafteroperation24hoursingroupA,theaveragecornealendothelialcelllossratewas4.2%.Post-operativeYAGlasercapsulotomywasdoneon3eyesingroupBafter
8、twelvemonthswithouttheoccurrenceofretinaldetachment,twogroupshavecomplainedglaresymptoms,therecentdifficultieswereocc
