[1]安莹,王进达,张景尚,等.白内障超声乳化摘出及后房折叠型人工晶状体植入术治疗高度近视合并白内障[J].眼科新进展,2016,36(6):540-542.[doi:10.13389/j.cnki.rao.2016.0143]
　AN Ying,WANG Jin-Da,ZHANG Jing-Shang,et al.Phacoemulsification and foldable posterior chamber intraocular lens implantation for high myopia and cataract[J].Recent Advances in Ophthalmology,2016,36(6):540-542.[doi:10.13389/j.cnki.rao.2016.0143]
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白内障超声乳化摘出及后房折叠型人工晶状体植入术治疗高度近视合并白内障
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
36卷
期数:
2016年6期
页码:
540-542
栏目:
应用研究
出版日期:
2016-06-05

文章信息/Info

Title:
Phacoemulsification and foldable posterior chamber intraocular lens implantation for high myopia and cataract
作者:
安莹; 王进达; 张景尚; 李晓霞; 刘雪; 赵晶; 万修华
100005　北京市，首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所北京市眼科学与视觉科学重点实验室
Author(s):
AN Ying;  WANG Jin-Da;  ZHANG Jing-Shang;  LI Xiao-Xia;  LIU Xue;  ZHAO Jing; WAN Xiu-Hua
Beijing longren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Tongren Eye Center, Beijing Institute of Ophthalmology,Beijing Key Laboratory of Ophthatmology and Visual Sciences, Beijing 100005 China
关键词:
白内障摘出术; 人工晶状体; 高度近视
Keywords:
cataract extraction; intraocular lens ;  high myopia
DOI:
10.13389/j.cnki.rao.2016.0143
文献标志码:
A
摘要:
目的　评价高度近视合并白内障行超声乳化摘出及后房折叠型人工晶状体植入术的疗效。方法　对４６例（７７眼）高度近视合并白内障患者施行透明角膜切口超声乳化吸出术，通过３．２ｍｍ切口植入后房折叠型人工晶状体。于术后１周、１个月、３个月、６个月随访复查，比较手术前后最佳矫正视力、球镜度数、柱镜度数、角膜曲率、角膜内皮细胞计数和眼轴长度的变化。结果　手术均顺利完成，人工晶状体１００％囊袋内植入。术后１周、１个月、３个月、６个月最佳矫正视力≥０．５者分别有５９眼、６０眼、６５眼和６５眼。术后６个月患者球镜度数、柱镜度数、角膜曲率、眼轴长度、角膜内皮细胞计数分别为（ －１．０４±０．５９）Ｄ、（－０．２３±１．１４）Ｄ、（４３．７２±１．１６）Ｄ、（２８．４６±１．７７）ｍｍ、（２０４１±８２５）个·ｍｍ－２。与术前相比，球镜度数、角膜内皮细胞计数两项差异具有统计学意义（均为Ｐ＜０．０５）。结论　超声乳化摘出及后房折叠型人工晶状体植入术治疗高度近视合并白内障效果良好，术后视力恢复快、屈光状态稳定。
Abstract:
Objective To evaluate the therapeutic effects of phacoemulsification and foldable posterior chamber intraocular lens ( IOL) implantation for high myopia and cataract. Methods Phacoemulsification with foldable posterior chamber IOL implantation was performed on 77 eyes of 46 cataract patients with high myopia through a 3. 2 mm small corneal incision. A1l patients were followed at the point of I week, I month ,3 months and 6 months after surgery. The best corrected visual acuity, mean diopter of spheres , keratometry, corneal endothelium . axial length before and after surgery were compared. Results All surgeries were finished smoothly. The IOL were all implanted in the capsular bag. Postoperatively , the best corrected visual acuity equal t0 0. 5 0r better at I week.l month.3 months and 6 months were in 59 eyes,60 eyes,65 eyes and 65 eyes,respectively. The parameters of mean diopter of spheres, mean diopter of columns , corneal curvature , ocular axial length , corneal endothelial cell density at postoperative 6 months were ( - 1. 04 +0. 59) D. ( - 0. 23 + 1. 14 ) D, (43. 72 + 1. 16 ) D. ( 28. 46 + 1. 77 ) mm. (2041 + 825 ) cells . mm . , respectively. There was significant differences in diopter of sphere and corneal endothelial cell density between pre-operation and post-operation( both P < 0. 05 ) . Conclusion Phacoemulsification and foldable posterior chamber IOL implantation for high myopia and cataract has the better efficacy , the postoperative visual acuity recovery is rapid , and the postoperative refraction is stable.

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备注/Memo

备注/Memo:
国家自然科学基金面上项目（编号：３０４７１８６１）；国务院妇女儿童工作委员会课题（编号：２０１４１０８）；北京市科技新星（编号：Ｈ０２０８２１３８０１９０、Ｚ１３１１０２０００４１３０２５）
更新日期/Last Update: 2016-06-27