方法：纳入2020-08/11来南昌大学附属眼科医院就诊的硅油眼并发性白内障行硅油取出联合白内障超声乳化吸除及人工晶状体植入术患者41例，将其分为2组：高度近视组18例18眼和非高度近视组23例23眼。收集并记录患者使用IOL Master的测量数据，所有数据使用SPSS 20.0行统计学分析。

结果：高度近视组和非高度近视组组内球镜度数、散光度数比较均无差异(P>0.05)。两组眼轴差值(ΔAL)分别为-0.28±0.29、0.05±0.31mm(P<0.05)，角膜曲率差值(ΔK)、绝对屈光误差(MARE)、散光差值(Δ散光)均无差异(P>0.05)。高度近视组术前、术后眼轴长度(AL)分别为28.37±1.73、28.10±1.55mm(t=3.994，P<0.05)，而非高度近视组术前、术后AL无差异(P>0.05)。高度近视组患者术前AL、ΔAL与MARE呈中度相关(r=0.742、-0.646，均P<0.05)，而非高度近视组术前AL、ΔAL、术前K、ΔK与MARE均无相关性(P>0.05)。

结论：IOL Master测量硅油眼并发性白内障患者人工晶状体度数准确性高，测量生物学参数误差小。高度近视硅油眼并发白内障患者硅油取出术前眼轴越长、术后眼轴变化越多，屈光误差越大。

METHODS: From August 2020 to November 2020 in the Affiliated Eye Hospital of Nanchang University, 41 patients with silicone oil removal combined with cataract surgery were divided into 2 groups: 18 patients(18 eyes)in high myopia group and 23 patients(23 eyes)in non-high myopia group. Collected and recorded the patients' IOL Master measurement data. Statistical analysis was performed in SPSS20.0.

RESULTS: The mean spherical degree or astigmatism of the IOL Master measurement and refraction in high myopia and non-high myopia group performed by paired t-test(P>0.05). The mean axial difference ΔAL were -0.28±0.29 and 0.05±0.31mm between the two groups has no difference(P<0.05), while ΔK, mean absolute refractive error(MARE)and Δastigmatism(P>0.05). The preoperative and postoperative axial length(AL)in high myopia groups were 28.37±1.73 and 28.10±1.55mm(t=3.994, P<0.05), yet the non-high myopia group(P>0.05). Bivariate linear correlation analysis: in the high myopia group, there was a moderate positive correlation between preoperative AL and MARE(r=0.742, P<0.05), and a moderate negative correlation between ΔAL and MARE(r=-0.646, P<0.05), but in non-high myopia group, preoperative AL, ΔAL, preoperative K, ΔK had no correlation(P>0.05).

CONCLUSION: IOL Master performed the small biostatistical error and high measurement accuracy of the intraocular lens in patients with silicone oil filled eye complicated cataract. The longer preoperative AL, the more changes in the axial length after silicone oil removal, and the greater the refractive error of patients with high myopia silicone oil filled eye complicated cataract.