| 有晶体眼前房负度数人工晶体植入术治疗超高度
近视的临床观察
赵广华 何洪林
南京东南眼科医院
[摘要] 目的：探讨有晶体眼前房型人工晶体植入术治疗高度近视的临床效果。方法：对110眼近视度数在-8—-23D的110眼行有晶体眼前房人工晶体植入术。手术前后检查：裸眼视力、矫正视力、眼压、角膜内皮细胞计数、房角镜、人工晶体及透明晶体情况。并对上述检查进行对比分析。术后随访12月。结果：110眼均成功植入前房人工晶体。裸眼视力术前0.01—0.1，术后82.73%≥0.3，33.64%≥0.6。术前眼压13.54±2.64 mmHg，术后1年眼压14.23±2.79 mmHg；角膜内皮细胞计数术前：3108±297个/mm2，术后1年2877±301个/mm2。差异无显著性意义。结论：有晶体眼前房型人工晶体植入术可有效治疗超高度近视。手术具有安全性、有效性、可预测性及可逆性。
关键词： 高度近视 晶体植入 前房
Clinical research of the implantation of phakic anterior chamber intraocular lens for high myopia . ZHAO Guanghua , HE Honglin , SHI Jianjiang , ZHAO Dandan , SU Xiaolu . Nanjing South-east Ophthalmology Hospital . Nanjing 210007 .
[Abstract] Objective: To evaluate the effect of anterior chamber intraocular lens implantation for high myopia. Methods: A consecutive group of 110 eyes in 57 patients with –8.00 to –23.00 diopters of myopia were implanted. 110 eyes were checked with uncorrected visual acuity, corrected visual acuity, intraocular pressure(IOP), corneal endothelial cells and have been followed-up for 12 months. Results: All of 110 eyes were implanted successfully. The uncorrected visual acuity were 0.01 to 0.1 pre-operative, and 82.3% beyond 0.3, 33.64% beyond 0.6 post-operative; IOP were 13.54±0.64 mmHg pre-operative and 14.23±0.79 mmHg post-operative; Counts of endothelial cells were 3108±197个/mm2 pre-operative and 2877±201个/mm2 post-operative. There was no significant difference. Conclusions: The implantation of phakic anterior chamber IOL for high myopia is effective , securely and predictable .
[Key wards] high myopia lens implantation anterior chamber
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