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1、超声乳化治疗髙度近视白内障的临床观察作者：何永文，马雅玲单位：1•宁夏医科大学，银川750004；2.宁夏医科大学附属医院眼科，银川750004【摘要】目的评价超声乳化治疗高度近视白内障的临床效果。方法观察分析采用巩膜隧道切口及囊袋内超声乳化术，并植入后厉型人工品体(1OL)32例(51眼)白内障合并轴性高度近视患者的术后视力、屈光度、并发症及随访3个月的资料。结杲木组患者术前平均眼轴27.40mm,平均屈光度柱镜(-13.7±0.92)DS,柱镜(-3.93±0.23)DC；术后3个
2、月视力〉0.5者30眼,视力1.0者8眼,平均屈光度柱镜(-0.64±0.21)DS,木镜(-0.98±0.37)DC。槁1周视力、3个月视力分别与术前比较,t值为・13.776、-11.501,P值均＜0.05,差异有统计学意义;术后3个月球镜、柱镜与术前分别比较，t值为・15.055、4383,P＜0.05,差异均有统计学意义。术后并发症有不同程度的角膜水肿和前房炎症反应，术后1周内均消退；发生后囊下混浊6眼，激光切开后囊后视力提高。结论超声乳化技术治疗高度近视白内障安全有效。手术
3、效果与其自身眼底病变程度密切相关，同时术前IOL度数的确定及术者手术技术的熟练程度亦直接影响手术效果。【关键词】白内障；超声乳化；高度近视TheClinicalEffectofPhacoemulsificationinCataractwithHighMyopia(NingxiaMedicalUniversity,Yinchuan750004)Abstract:ObjectiveToevaluatetheclinicaleffectofphacoemulsificationincataractwithhighmyo
4、pia・Methods32cases(51eyes)ofcataractwithaxialhighmyopiawereincluded・Theaverageoftheeyeballaxiallengthwas27.40mmandtheaveragediopterwas(-13.7±0.92)DS,(-3.93±0.23)DC.Scleraltunnelincisionandcapsularbagphacoemulsificationandposteriorchamberintraocu
5、larlensimplantation(IOL)wereapplied.Thepostoperativevision＞diopterandcomplicationwereobservedandpatientswerefollowedupfor3monthes・Results3monthpostoperativebest-correctedvisualacuityin30casesweremorethan().5,8casesreached1.()andtheaveragediopterwas(-0.64&plus
6、mn;0・21)DS,(-0.98±0.37)DC;Postoperativecomplicationsincludedvaryingdegreesofcornealedemaandanteriorchamberinflammation,whichfadedinoneweek.Therewere6eyeswhichhadpoposteriorcapsuleopacificationandafterlasercutthevisionelevated.ConclusionPhacoemulsificat
7、ionintreatmentofcataractwithhighmyopiaissafeandeffective・Theeffectofsurgeryiscloselyrelatedwithitsowndegreeofretinopathy,identificationofIOLdegreeandskilledsurgicaltechniquesarealsoadirectimpactontheextentoftheeffectofsurgery.Keywords:cataract;phacoemulsifica
8、tion;highmyopia白内障和近视是我国的主要眼疾，影响着患者的视觉质量及生活质量，特别是对合并高度近视的H内障患者，影响更为明显。近年來超声技术迅速发展使得超声乳化技术成为白内障治疗的主要手段。白内障超声乳化摘出术具有切口小、愈合快、术后散光小等优点[1],已在临床广泛应用，对单纯性老年性口内障的治疗效果也得到了肯定。然而对于超声乳化治疗合并高度近视的白内障报道
