AIM:To observe the clinical curative effects of phacoemulsification aspiration and intraocular lens implantation for the treatment of high myopia with cataract.

METHODS: From January, 2011 to December, 2012, 110 patients with high myopia cataract were selected as the research objects in our hospital. They were randomly divided into observation group(emulsification aspiration and intraocular lens implantation group, n=56)and control group(conventional surgery group, n=54), the visual recovery and postoperative complications were observed in two groups and a comprehensive analysis were made.

RESULTS: This study showed: in observation group, 30 cases with the visual recovery back to above 0.5, 24 cases with the vision of 0.3-0.5, 2 cases with the vision of less than 0.3; In control group, 20 cases with the visual recovery back to above 0.5, 22 cases with the vision of 0.3-0.5, 12 cases with the vision of less than 0.3; The values were better than the control group, there was statistical significant differences(P<0.05). In observation group, 2 case was postoperative capsular membrane rupture, 2 cases were detached vitreous, the complication rate was 7.1%; In control group, 3 cases were postoperative capsular membrane rupture, 3 cases were detached vitreous, 2 cases were suspensory ligament rupture, the complication rate was 14.8%; there was statistical significance when compared observation group with the control group(P<0.05). The study showed: the observation group in postoperative refractive deviation <±0.50D in 46 cases(82.1%), refractive error value >±0.50D in 10 cases(17.9%), the control group with postoperative refractive deviation <±0.50D in 38 cases(70.4%), refractive error >±0.50D in 16 cases(29.6%), compared to the observation group and the control group, the difference was statistically significant(P<0.05).

CONCLUSION: The curative effects of phacoemulsification aspiration and intraocular lens implantation for the treatment of high myopia with cataract is effective, and it has the advantages of small incision, less intraocular tissue injury and short postoperative visual function recovery time. Therefore, it is an effective and safe treatment for high myopia with cataract, and it is recommended in clinical application.