[1]杜雅莉,马迪,黄育强,等.改良式大切口白内障囊外摘出联合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,2017,37(6):559-561.[doi:10.13389/j.cnki.rao.2017.0141]
　DU Ya-Li,MA Di,HUANG Yu-Qiang,et al.Modified large-incision manual cataract extraction combined with IOL implantation for high myopia with cataract[J].Recent Advances in Ophthalmology,2017,37(6):559-561.[doi:10.13389/j.cnki.rao.2017.0141]
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改良式大切口白内障囊外摘出联合人工晶状体植入术治疗高度近视合并白内障/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
37卷
期数:
2017年6期
页码:
559-561
栏目:
应用研究
出版日期:
2017-06-05

文章信息/Info

Title:
Modified large-incision manual cataract extraction combined with IOL implantation for high myopia with cataract
作者:
杜雅莉; 马迪; 黄育强; 黄楚开; 张婉琪; 王耿
515041　广东省汕头市，汕头大学·香港中文大学联合汕头国际眼科中心
Author(s):
DU Ya-Li; MA Di; HUANG Yu-Qiang; HUANG Chu-Kai; ZHANG Wan-Qi; WANG Geng
Department of the Joint Shantou International Eye Center，Shantou University and the Chinese University of Hongkong，Shantou 515041，Guangdong Province，China
关键词:
高度近视; 白内障; 大切口白内障囊外摘出术; 前房维持器
Keywords:
high myopia; cataract; large-incision cataract extraction; maintaine
分类号:
R776.1
DOI:
10.13389/j.cnki.rao.2017.0141
文献标志码:
A
摘要:
目的　评价改良式大切口白内障囊外摘出联合人工晶状体植入术治疗高度近视合并白内障的疗效及安全性。方法　对28例（32眼）高度近视合并白内障患者行改良式大切口白内障囊外摘出联合人工晶状体植入术，核硬度Ⅲ级20眼，Ⅳ级11眼，Ⅴ级1眼，术后随访2~12个月，观察视力、屈光度及手术并发症。结果　所有32眼中，28眼的术后最佳矫正视力明显优于术前；4眼术后最佳矫正视力无改善，眼底检查均发现较严重的高度近视性眼底病变。术后和术前最佳矫正视力（logMAR）为0.84±0.71和1.43±0.73，等效球镜度数（-1.86±1.41）D和（-15.33±5.03）D，差异均有统计学意义（均为P<0.05）。术中发生部分悬韧带离断者1眼，1眼娩核时出现虹膜出血；术后轻度角膜水肿11眼、前房积血1眼、短暂性高眼压1眼、葡萄膜炎症反应3眼，经处理均在1周内病变消失。术后1眼人工晶状体植入于睫状沟，其余病例人工晶状体均植入囊袋内。随访期间未发现人工晶状体偏移。结论　改良式大切口白内障囊外摘出联合人工晶状体植入术安全有效，适用于治疗高度近视合并白内障。
Abstract:
Objective　To evaluate the effectiveness and safety of modified large-incision manual cataract extraction combined with intraocular lens (IOL) implantation for high myopia with cataract.Methods　Twenty-eight patients (32 eyes) of high myopia with cataract underwent modified large-incision manual cataract extraction combined with IOL implantation.The nuclear hardness of 20 eyes were in degree Ⅲ,11 eyes were in degree Ⅳ,1 eye was in degree Ⅴ.The follow-up time was form 2 months to 12 months,the visual acuity,refraction and complications were observed and analyzed.Results　In 32 eyes,the postoperative best corrected visual acuity (BCVA) was better than pre-operation in 28 eyes,4 eyes had no any improvement,in which the server high myopic fundus disease was found.The preoperative and postoperative BCVA were (1.43±0.73)logMAR and (0.84±0.71)logMAR,and the sphere equivalent were (-15.33±5.03)D and (-1.86±1.41)D,the differences were statistically significant (all P<0.05).The intraoperative partial suspensory ligament occurred in 1 eye,iris hemorrhage appeared in 1 eye when extracting the lens nucleus;The postoperative mild corneal edema was seen in 11 eyes,hyphema in 1 eye,temporary high IOP in 1 eye,uveitis in 3 eyes,which disappeared within 1 week after treatment.IOL were implanted into capsular bag except 1 eye for partly broken ciliary zonule.There was no IOL dislocation within the follow-up.Conclusion　Modified large-incision manual cataract extraction combined with IOL implantation is safe and effective for high myopia with cataract.

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更新日期/Last Update: 2017-06-28