目的:探讨超声乳化白内障吸除联合负度数人工晶状体植入术治疗白内障合并高度近视的临床疗效。方法:对30例41眼白内障合并高度近视患者行超声乳化白内障吸除联合负度数折叠式人工晶状体植入术,随访6mo,观察术中和术后并发症、术后视力、眼底情况。结果:术前平均眼轴长度为32.11mm。术后视力<0.1者3眼,0.1～0.5者26眼,>0.5者12眼。术中2眼晶状体后囊膜破裂;1眼角膜水肿,未见视网膜脱离。24眼眼底有明显的高度近视眼底病变。结论:超声乳化白内障吸除联合负度数人工晶状体植入术是治疗白内障合并高度近视眼安全、有效的方法。

AIM:To evaluate the clinical effect of phacoemulsification and negative power intraocular lens implantation in patients with axial high myopia and cataract.METHODS:Thirty cases 41 eyes received phacoemulsification and negative power intraocular lens implantation.Preoperative axial length,postoperative visual acuity and the fundus examination were recorded.Intraoperative and postoperative complications were observed.The follow-up time was 6 months.RESULTS:The mean preoperative axial length was 32.11mm.Postoperative visual acuity achieved 0.1 or better in 38 eyes,and 0.5 or better in 12 eyes.Only 2 eyes had posterior lens capsule rupture,and 1 eye had corneal edema.No retinal detachment was observed during the follow-up time.24 eyes had obvious high myopia retinopathy.CONCLUSION:Phacoemulsification and negative power intraocular lens implantation is safe and effective for axial high myopic eyes.

R779.66