摘要
目的分析小切口超声乳化治疗高度近视并发白内障的临床疗效。方法选取我院2008年2月至2012年2月收治的高度近视并发白内障患者45例(60眼),均采用小切口超声乳化联合人工晶状体植入术治疗。观察患者术后1周及术后3个月裸眼视力(uncorrected viusal acuity,UCVA)、最佳矫正视力(best corrected viusal acuity,BCVA),并与术前UCVA及BCVA对比,同时观察术中及术后出现的并发症;依据术前眼轴长度,观察比较眼轴长度≤27 mm患眼及眼轴长度>27 mm患眼术后3个月BCVA变化情况。结果术后1周患者UCVA为0.68±0.25,术后3个月为0.67±0.14,术后1周、3个月UCVA均高于术前,差异均有统计学意义(均为P<0.05)。与术前BCVA相比,术后1周及术后3个月BCVA均高于术前,差异均有统计学意义(均为P<0.05);术后1周与术后3个月BCVA差异无统计学意义(P>0.05)。眼轴长度>27 mm的34眼术后3个月BCVA≤0.5者11眼(32.35%),>0.5者23眼(67.65%);眼轴长度≤27 mm的26眼术后3个月BCVA≤0.5者4眼(15.38%),>0.5者22眼(84.62%);不同眼轴长度术后BCVA比较,差异有统计学意义(P<0.05)。结论小切口超声乳化治疗高度近视并发白内障效果明显,安全性高。
Objective To analyze the clinical effects of phacoemulsification with small incision for high myopia and cataract. Methods Forty-five patients （ 60 eyes） with high myopia and cataract in our hospital from February 2008 to February 2012 were chosen, all patients were performed the phacoemulsification with small incision and in- traocular lens implantation, the uncorrected visual acuity （UCVA） and best corrected visual acuity （BCVA） at postoperative 1 week and 3 months were observed and com- pared with pre-operation, the intraoperative and postoperative complications were ob- served. BCVA at postoperative 3 months in patients with ocular axis less or more than 27 mm was observed and compared, Resuits UCVA at postoperative 1 week and 3 months were 0.68 ±0.25 and 0.67 ±0.14, respectively, which were higher than pre-op- eration （all P 〈 0.05 ）. Compared with pre-operation, BCVA at postoperative 1 week and 3 months were increased, there were statistical difference （ all P 〈 0.05 ）, but there was no statistical difference between postoperative 1 week and 3 months （P 〉 0.05 ）. In34 eyes with ocular axis more than 27 mm, BCVA at postoperative 3 months equal to or less than 0.5 were in 11 eyes （ 32.35% ）, more than 0.5 in 23 eyes （67.56%） ; In 26 eyes with ocular axis equal to or less than 27 ram, BCVA at postop- erative 3 months equal to or less than 0.5 were in 4 eyes （ 15.38% ）, more than 0.5 in 22 eyes （ 84.62% ）, there was statis- tical difference in BCVA between different ocular axis （P 〈 0.05 ）. Conclusion Phacoemulsification with small incision for high myopia and cataract is obviously effective with high safety.
出处
《眼科新进展》
CAS
北大核心
2014年第4期369-370,374,共3页
Recent Advances in Ophthalmology
关键词
超声乳化
高度近视
白内障
phacoemulsification
high myopia
cataract
