【摘要】 目的 分析和探讨表面麻醉下高度近视眼白内障超声乳化折叠人工晶体植入术的安全性及疗效。方法 对40例50只高度近视眼合并白内障患者进行表面麻醉下超声乳化及折叠人工晶体植入术，观察术中疼痛感、并发症及术后效果。结果 46眼无疼痛、2眼有轻微胀痛、2眼感胀痛，术中追加1次表面麻醉，2眼发生后囊膜破裂，1眼发生部分悬韧带离断，无视网膜脱离发生。术后3个月视力≥0.5者占60%，≥1.0者占18%。结论 表面麻醉下高度近视眼白内障超声乳化及折叠人工晶体植入术安全、疗效可靠、并发症少。

    【关键词】 高度近视；超声乳化白内障；表面麻醉

    Phacoemulsfication and intraocular soft lens implantation with topical anesthesia in high myopia patients with cataract

    LIU Jing.

    Department of Ophthalmology, Shijitan Hospital, Beijing 100038, China

    【Abstract】 Objective To evaluate the effect and safty of phacoemulsfication and intraocular soft lens implantation operation with topical anesthesia in high myopia patients with cataract. Methods The operation were performed successively in 40 patients (50eyes)with topical anesthesia. Pain during operation complication,postoperative effects.Results 46 eyes with no pain, 2 eyes with a little distending pain, 2 eyes with distending pain, and another topical anesthetic was given during operation. Intra-operative complications included posterior capsule rupture in 2 eyes, partial suspensory ligament breaking in 1 eye, but without retinal detachment. Postoperative 3 months visual acuity was 0.5 or better in 60%, was 1.0 or better in 18%.Conclusion Phacoemulsfication under opical anesthesia to treat high myopia patients with cataract is safe,with good effect and low complication. ......