超声乳化人工晶状体植术治疗超高度近视合并白内障的临床疗效.docVIP

精品论文 参考文献 超声乳化人工晶状体植术治疗超高度近视合并白内障的临床疗效 郝颖娟 南京同仁医院眼科　江苏　南京　２１００００ 作者简介:郝颖娟,性别:女,民族:汉族,出生于:１９８０．２．２２,籍贯:甘肃,学历:硕士,现任职称:主治医师,研究方向:角膜病及眼前节病,所在科室:眼科 　　【摘要】　目的　探讨超声乳化人工晶状体植术治疗超高度近视合并白内障的临床疗效.方法　选取我院２０１４年６月~２０１５年６月眼科收治的４８例超高度近视合并白内障患者为观察组研究对象,同时回顾性分析２０１３年９月~２０１４年５月眼科收治的３６例超高度近视合并白内障患者的临床资料,设为对照组.对观察组患者行超声乳化人工晶状体植术,对对照组患者行常规白内障囊外摘除人工晶状体植术,观察两组患者治疗前后视力、散光度数改善情况,同时观察并记录手术的不良反应情况,评价手术的安全性.结果　采用两种不同手术方法治疗后,观察组患者的视力改善情况显著优于对照组(P均＜０．０５),观察组患者的视力改善情况显著优于对照组(P ＜０．０５),观察组不良反应发生显著低于对照组(P ＜０．０５).结论　采用超声乳化人工晶状体植术治疗超高度近视合并白内障具有创伤小、安全、有效的优点,可显著改善患者的视力情况,提高患者的生活质量,具有较高的临床应用价值. 【关键词】　超高度近视;合并白内障;人工晶状体植术;超声乳化;临床疗效【Abstarct】ObjectiveToinvestigatethephacoemulsificationandintraocularlensimplantationsurgeryclinicalefficacyofultra－highmyopiacataract．MethodsinourhospitalinJune２０１４~June２０１５weretreated４８casesofOphthalmologyhighmyopiacataractpatientsintheobservationgroupstudy,whileretrospectiveanalysisSeptember２０１３－ May２０１４weretreated３６casesofophthalmologysuperhighmyopiacataractpatientswithclinicaldata,setthecontrolgroup．TheobＧservationgroupunderwentphacoemulsificationandintraocularlensimplantationsurgery,forpatientsinthecontrolgroupunderwentconventionalextracapsularcataractextractionandintraocularlensimplantationsurgery,patientswereobservedbeforeandaftertreatmentvisualacuity,astigmatismimprovethesituation,buttoobserveandrecordadversereactionssurgeryevaluatethesafetyofoperation．Resultsafterusingtwodifferentsurgicaltreatments,visionimprovementinpatientsintheobservationgroupwassignificantlybetterthanthecontrolgroup(P＜０．０５)wereobservedinpatientsvisualacuityimprovementwassignificantlybetterthanthecontrolgroup(P ＜０．０５),poorobservationgroupreactsignificantlylowerthanthecontrolgroup(P＜０．０５)．Conclusionphacoemulsificationandintraocularlensimplantationfortreatmentofhighmyopiaandcataractwithlesstrauma,safeandeffectiveadvantages,cansignificantlyimprovethepatient＇sviＧsiontoimprovethequalityoflifeofpatientswithhighclinicalvalue．【Keywords】superhighmyopia;cataract;intraocularlensimplantationsurgery;phacoemulsifi