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目的 比较屈光性透明晶状体摘出加人工晶状体植入术和ＬＡＳＩＫ对治疗４０岁以上高度近视的差异与优劣。方法 ４８例７７眼高度近视患者分为两组：组１采用晶状体摘出加人工晶状体植入术，囊袋内放置低度数或负度数人工晶状体。组２采用微型角膜刀和准分子激光行ＬＡＳＩＫ术。术前和术后检测远近裸眼视力和矫正视力、眼屈光度和近附加屈光度。结果 术后两组的裸眼远视力都比术前有明显增加，两组比较无显著性差异。组１术后最好矫正视力比术前显著提高，但组２与术前相似，两者差异有高度显著性。两组在术中和随访期内均未发现严重的并发症。结论４０岁以上－１５．００ Ｄ左右的高度近视患者行屈光性透明晶状体摘出加人工晶状体植入术具有安全、有效和预测性好等优点，具有比ＬＡＳＩＫ更令人满意的视觉效果。
Objective To compare the advantages and disadvantages of refractive myopic transparent lens extraction plus intraocular lens implantation and LASIK in the treatment of 40-year-old high myopia. Methods Forty-eight eyes of 77 eyes with high myopia were divided into two groups. Group 1 was treated with phacoemulsification and intraocular lens implantation. Intraocular lens (IOL) was placed in low or negative IOL. Group 2 using microkeratome and excimer laser LASIK surgery. Visual acuity and corrected visual acuity of uncorrected and uncorrected visual acuity, ocular refractive power and near-attached refractive power were measured preoperatively and postoperatively. Results The distance of visual acuity of the naked eye in the two groups after operation was significantly higher than that before operation. There was no significant difference between the two groups. Group 1 postoperative best corrected visual acuity was significantly higher than preoperative, but group 2 and preoperative similarities between the two were highly significant. No serious complications were found in both groups during the follow-up period. Conclusion Refractive and phacoemulsification with intraocular lens implantation is safe, effective and predictive in patients with high myopia ranging from -15.00 to -15.00 D. It has more satisfactory visual effects than LASIK.