[白内障合并近视患者的手术方法]

[Surgical methods in patients with cataract and myopia].

作者信息

Palacz O, Krzystolik Z, Lubiński W, Iwanicka E

机构信息

II Kliniki Okulistycznej Pomorskiej AM w Szczecinie.

出版信息

Klin Oczna. 1995 Mar-Apr;97(3-4):61-3.

PMID:7474794

Abstract

PURPOSE

To present own experiences in cataract surgery in myopic eyes.

METHODS

72 eyes of patients, aged 41-84, with 4-year follow-up were analysed. According to the degree of myopia, the patients were divided into 3 groups: MP up to -4.0 D (29 eyes), mp from -4.25 D to -8.0 D (27 eyes) and MP > -8.0 D (16 eyes). Extracapsular cataract extraction was performed in 55 eyes (76.4%) and intracapsular in 11 (15.2%). Posterior IOLS were implanted in 30 eyes (41.6%), anterior IOLS (including 4 secondary ones) in 26 (36.1%) and 16 eyes (22.2%) were operated on without IOLS implantation.

RESULTS

Good visual acuity (> 0.5) was achieved in 73.6% of cases, useful visual acuity (> 0.1) in 89%. The results as well as the postoperative complications were compared with the control group of non-myopic eyes. Glaucoma was observed in 18% of myopic eyes and in 10% of non-myopic but it was not significant.

CONCLUSION

The safest method of cataract surgery in myopic eyes is extracapsular extraction with posterior IOL implantation. These eyes should be operated on by very experienced surgeons.

摘要

目的

介绍本人在近视眼白内障手术方面的经验。

方法

对年龄在41 - 84岁、随访4年的72例患者的眼睛进行分析。根据近视程度，将患者分为3组：近视度数达-4.0 D（29只眼），-4.25 D至-8.0 D（27只眼），近视度数＞-8.0 D（16只眼）。55只眼（76.4%）行囊外白内障摘除术，11只眼（15.2%）行囊内摘除术。30只眼（41.6%）植入后房型人工晶状体，26只眼（36.1%）植入前房型人工晶状体（包括4只二期植入者），16只眼（22.2%）未植入人工晶状体进行手术。