摘要
目的探讨超声乳化自内障吸出联合Bigbag人工晶状体植入在高度近视合并白内障眼中的临床应用效果。方法临床病例对比研究。对2009年10月至2011年12月在昆明市第一人民医院眼科就诊的63例（94只眼）高度近视合并白内障患者行超声乳化吸出按患者意愿选取不同晶状体联合人工晶状体植入，比较Bigbag组48只眼与Softec I组46只眼术后裸眼视力、最佳矫正视力、屈光状态、眼压及手术并发症。结果两组患者分别与术前最佳矫正视力、屈光度比较差异有统计学意义（P〈0．05），两组间术后最佳矫正视力、眼压比较差异无统计学意义（P〉0．05），Bigbag组患者术后无后囊膜皱褶，与Softec I组比较差异有统计学意义（P〈0．05）。结论对高度近视合并白内障患者行超声乳化白内障吸出联合Bigbag人工晶状体植入术可达到较理想术后视力，是一种安全有效地治疗方法。Bigbag人工晶状体对后囊膜有稳定地支撑作用，可明显减少术后并发症的发生，特别是后囊膜皱褶和后发障，让高度近视患者获得更好地视觉质量。
Objective To explore the clinical application effect of phacoemulsification with Big-bag intraocular lens implantation in high myopia with cataract. Methods In 63 cases （94 eyes） of high myopia with cataract underwent phacoemulsification combined with intraocular lens implantation, group Bigbag compared with group Softec I postoperative on visual acuity, best corrected visual acuity, refraction, intraocular pressure and complications of operation. Results The best corrected visual acuity and diopter had statistically significant difference （P 〈0.05） between two groups preoperatively, while the best corrected visual acuity and intraocular pressure had no significant difference （P 〉0.05） postoperatively. Group Bigbag patients after posterior capsular wrinkle, cystoid macular edema, retinal detachment was less compared with group Softec I. Conclusions Bigbag intraocular lens implantation is a safe and effective treatment method for high myopia with cataract after phacoemulsification. Bigbag intraocular lens has a stable supporting role on posterior capsule, can signifi-cantly reduce postoperative complications especially the posterior capsular wrinkle and posterior capsule opacification, so that highly myopic patients can obtain better visual quality.
出处
《中国实用眼科杂志》
CSCD
北大核心
2014年第1期60-63,共4页
Chinese Journal of Practical Ophthalmology
