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目的 :探讨超声乳化及人工晶体植入术在高度近视白内障中的应用效果。方法 :对眼轴≥ 2 6mm的 4 8例 5 5眼高度近视白内障患者施行巩膜隧道切口的超声乳化吸除及人工晶体植入术 ,观察术中、术后主要并发症及术后视力。结果 :术后矫正视力≥ 0 3者 39眼 (70 5 % ) ;术中 2眼后囊膜破裂 ,术后 6个月有 1眼出现视网膜脱离。结论 :高度近视并发白内障行超声乳化吸除及人工晶体植入术 ,可以降低手术中后囊膜破裂及术后视网膜脱离的发生率 ,较大切口手术安全
Objective: To investigate the effect of phacoemulsification and intraocular lens implantation in high myopia cataract. Methods: Forty-eight eyes of 45 myopic cataract patients with axial length≥2 6mm underwent scleral tunnel incision phacoemulsification and intraocular lens implantation. The intraoperative and postoperative major complication and postoperative visual acuity were observed. Results: The postoperative corrected visual acuity was ≥0 3 in 39 eyes (70.5%). The posterior capsular rupture occurred in 2 eyes and retinal detachment occurred in 1 eye 6 months after operation. CONCLUSION: Phacoemulsification and intraocular lens implantation in cataract patients with high myopia can reduce the incidence of posterior capsular rupture and retinal detachment after operation. The safety of the larger incision