高度近视眼伴严重视网膜脉络膜病变患者白内障超声乳化吸除联合人工晶体植入术的疗效分析
高度近视；白内障；视网膜脉络膜病变,,],高度近视；白内障；视网膜脉络膜病变,1资料与方法,2结果,3讨论,参
[摘要] 目的 分析白内障超声乳化吸除联合人工晶体植入术治疗高度近视伴严重视网膜脉络膜病变的白内障患者的疗效。方法 对63例(63眼)高度近视伴严重视网膜脉络膜病变的白内障患者行巩膜隧道切口超声乳化白内障吸除联合人工晶体植入术,平均年龄68岁,术前矫正视力光感~0.1,平均近视度数-12.4 D,平均植入人工晶体度数+2.77 D。结果 除1眼术后视力未提高外,其余眼术后视力均有不同程度提高,术后视力≥0.1者占74.6%,≥0.3者占27%,未见视网膜裂孔和视网膜脱离等并发症。结论 超声乳化白内障吸除联合人工晶体植入术可在一定程度上提高高度近视伴严重视网膜脉络膜病变的白内障患者的视力,提高患者的生活质量,术中切忌追求速度和操作粗暴。[关键词] 高度近视；白内障；视网膜脉络膜病变
Effectiveness of cataract extraction with phacoemulsification and implantation of PCLOL to treat high myopianion serious chorioretinopathy
TAO Yanting,JIA Wenbo.Department of Ophthalmology,Shanghai Harbour Hospital,Shanghai 200125,China
[Abstract] Objective To analyse the effectiveness of cataract extraction with phacoemulsification and implantation of posterior chamber intraocular lens to treat high myopia complicated serious chorioretinopathy.Methods Phacoemulsification and implantation of PCLOL through sclera tunnel incison was performed on 63 high myopia patients with cataract complicated serious chorioretinopathy.The average age of patients was 68 years(48~86) old.The preoperative corrected visual acuity was LP~0.1.The mean diopter was -12.4 D.The mean diopter of LOL was +2.77 D.Results Except that visual has not been improved after one surgery,visual improve in various degree.The visual acuity of 0.1 over better was obtained in 74.6%.0.3 or better obtained in 27%.No retinal hove or detachment were observed.Conclusion The visual of high myopia patients with cataract complicated serious chorioretinopathy can be improved in various degree by phacoemulsification and implantation of PCLOL,and improved the quality of patients’ life.Must taboo pursuing the speed and operating rudly in the surgery. ......
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