目的:观察高度轴性近视眼白内障行小切口非超声乳化及人工晶状体植入术的临床疗效,分析影响术后视力的因素。方法:对我院158例186眼眼轴≥26mm的高度近视眼白内障行小切口非超声乳化及人工晶状体植入术,术后随访6mo,观察术后视力和术中术后并发症情况。结果:术后3mo裸眼视力≥0.5者145眼(78%),0.1~0.4者33眼(18%),<0.1者8眼(4%);并发症有后囊膜破裂11眼,角膜内皮水肿19眼,视网膜脱离3眼,后囊膜不同程度混浊13眼。结论:高度轴性近视眼白内障行小切口非超声乳化及人工晶状体植入术疗效良好,是一种安全性较高的理想的手术方法。

AIM:To observe the clinical efficacy of small incision non-phacoemulsification and intraocular lens(IOL) implantation in high degree axial myopia cataract, and analyse related factors to postoperative visual acuity. METHODS: One hundred and eighty-six eyes of 158 patients with axial length ≥26mm of high myopia underwent small incision non-phacoemulsification and IOL implantation. The postoperative visual acuity and intraoperative and postoperative complications were observed in the postoperative follow-up of 6 months. RESULTS: Three months later,uncorrected visual acuity ≥0.5 was in 145 eyes(78%), 0.1- 0.4 in 33 eyes(18%), <0.1 in 8 eyes (4%); complications included posterior capsule rupture in 11 eyes, endothelial edema in 19 eyes, retinal detachment in 3 eyes, posterior capsular opacification in 13 eyes in varying degrees. CONCLUSION: The efficacy of small incision non-phacoemulsification and IOL implantation for high axial myopia cataract, is very good. It is an ideal surgical method with high saftety.

R779.66