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目的评价高度近视白内障摘除及人工晶体植入术的临床疗效 .方法对眼轴长 >2 6mm的 39例 (43只眼 )高度近视并发白内障患者 ,施行白内障摘除及人工晶体植入术 .结果平均随访 2 4个月 (12～ 48个月 ) ,眼轴2 6～ 2 8mm 2 5只眼 ,术后矫正视力 >0 5的 2 2只眼 ,占 88% ,眼轴长 >2 8mm 18只眼 ,术后矫正视力 >0 5的 4只眼 ,仅占 2 2 % .术后未见视网膜脱离、青光眼、角膜营养不良等并发症 .结论高度近视眼白内障行人工晶体植入术 ,安全可靠 ,手术并发症少 .视力差的主要原因为眼底病变 ,并随眼轴长增加而增加 .
Objective To evaluate the clinical efficacy of cataract extraction and intraocular lens implantation in high myopia.Methods Thirty-nine patients (43 eyes) with high myopia and axial length> 26mm were performed cataract extraction and intraocular lens implantation.Results The mean All the patients were followed up for 24 months (range, 12-48 months), eyes with 26 ~ 28 mm2 eyes, postoperative corrected eyesight> 0 5 eyes, 88% with axial length> 28 mm Eyes, postoperative corrected visual acuity> 0 5 of 4 eyes, only 2 2% .No retinal detachment, glaucoma, corneal dystrophy and other complications.Conclusion High myopia cataract surgery with intraocular lens implantation, safe and reliable , Fewer surgical complications. The main reason for poor eyesight is fundus lesion, and increases with axial length.