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Bigbag人工晶状体植入对高度近视合并白内障患者术后并发症的影响张东祥【摘要】目的讨论Bigbag人工晶状体植入对高度近视合并白内障患者术后并发症的影响.方法选择我院高度近视合并白内障患者100例,随机分成两组,对照组患者给予Sensar人工晶状体植入治疗,观察组患者予以Bigbag人工晶状体植入治疗,观察比较两组患者术前术后前房深度及并发症发生情况,并做统计学分析.结果随访1个月后发现,观察组术后前房深度大于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 Bigbag人工晶状体植入对高度近视合并白内障患者后囊膜起到稳定支撑作用,有效减少了后囊膜皱褶等并发症的发生.【期刊名称】《中国卫生标准管理》【年(卷),期】2017(008)017【总页数】2页(P45-46)【关键词】Bigbag人工晶状体;高度近视;白内障;并发症【作者】张东祥【作者单位】吉林省松原华正眼科医院眼科,吉林松原 138000【正文语种】中文【中图分类】R779白内障是目前患者致盲的重要病因，高度近视合并白内障是一种比较特殊的白内障类型，其进程比较缓慢，晶状体呈核性混浊[1-2]。
目前临床上常用白内障超声乳化吸除与人工晶状体植入术相联合对高度近视合并白内障进行治疗，但以往设计的人工晶状体经常出现稳定性较差、后囊膜皱褶、视网膜脱离等问题，患者术后体验感差，生活质量不理想[3-4]。
选择一种合适的人工晶状体，对患者术后视力和视觉质量影响重大。
本文讨论了Bigbag人工晶状体植入对高度近视合并白内障患者术后并发症等的影响，现报道如下。
选择2016年1月—2017年1月我院收治的高度近视合并白内障患者100例（183眼），随机分成两组，每组50例患者；对照组男27例（47眼），女23例（45眼）；年龄42～76岁，平均年龄（56.8±8.1）岁；观察组男25例（47眼），女25例（44眼）；年龄43～77岁，平均年龄（56.6±7.9）岁；经分析，两组患者性别组成、年龄结构等一般因素差异无统计学意义（P＞0.05），具有可比性。
晶状体置换治疗白内障合并高度近视临床观察【摘要】目的：探讨晶状体置换治疗高度近视的临床疗效。
方法：对因白内障合并高度近视眼行晶状体置换术58例（65眼）患者进行回顾性分析，观察术后疗效和并发症等。
结果：术后1个月裸眼视力≥0.5者38只眼，占58.3%。
术后囊膜混浊者4只眼（6.2%）；黄斑水肿1只眼（2.2%）。
总像差的rms值范围0.29～2.35μm，平均为1.32±0.87μm。
结论：晶状体置换术是治疗白内障合并高度近视安全、有效方法。
【关键词】晶体;人工；白内障；近视【中图分类号】r779【文献标识码】a【文章编号】1008-6455（2011）04-0069-01replacement of intraocular lens in myopic and cataract eyesling yu zhao ling【abstract】objective: to evaluate the clinical effects of replacement of intraocular lens in myopic and cataract eyes. methods: 58 patients （65eyes） received replacement of intraocular lens. postoperative effects and postoperative complications were observed. results: the visual acuity achieved 0.5 or better in 38 eyes （58.3%） after 1 month. the 4 eyes have posterior capsule pacifications; 1 eye hasmacular edema. the rms values of the overall wavefront aberrations is ranging from 0.29～2.35μm,mean1.32±0.87μm.conclusion: replacement of intraocular lenses is safe and effective for myopia with cataract.【key words】lenses;intraocular; cataract; myopia高度近视合并白内障的发病率逐年递增，晶状体置换术是治疗该类病人的主要手段[1]。
超声乳化白内障吸除及人工晶状体植入术治疗超高度近视合并白内障的临床效果观察目的观察超高度近视合并白内障患者采用超声乳化吸除及人工晶体植入的效果。
方法在本院2014年12月～2016年12月超高度近视合并白内障且均予人工晶体植入患者150例，分为常规组与超声组。
其中74例白内障囊外摘除为常规组，另76例采用超声乳化吸除为超声组，将两组的术后眼压、并发症及视力恢复对照解析。
结果两组术后24 h，48 h眼压比较，超声组明显低于常规组，超声组不良反应率为2.64%，常规组不良反应率为24.33%，复查视力超声组优于常规组，两组差异具有统计学意义（P＜0.05）。
结论超高度近视合并白内障患者采用超声乳化吸除及人工晶体植入术，可有效减少不良反应，提高术后视力恢复，临床效果显著。
[Abstract] Objective To observe and analyze the effect of phacoemulsification and intraocular lens implantation in patients with ultra-high myopia complicated with cataract. Methods 150 cases of ultra-high myopia complicated with cataract and were given intraocular lens implantation in our hospital from December 2014 to December 2016 were divided into the conventional group and the ultrasound group. 74 cases receiving extracapsular cataract extraction were assigned to the conventional group，and another 76 patients receiving phacoemulsification were assigned to the ultrasound group. The postoperative intraocular pressure，complications and visual acuity recovery were compared and analyzed between the two groups. Results The postoperative intraocular pressure was compared between the two groups after 24 h，48 h，and the ultrasound group was significantly lower than the conventional group. The adverse reaction rate in the ultrasound group was 2.64%，and the adverse rate in the conventional group was 24.33%.The corrected visual acuity in the ultrasound group was better than that in the conventional group，and the difference between the two groups was statistically significant（P＜0.05）. Conclusion Phacoemulsification and intraocular lens implantation in patients with ultra-high myopia complicated with cataract can effectively reduce the adverse reactions and improve the postoperative visual acuity. The clinical effect is remarkable.[Key words] Phacoemulsification；Intraocular lens implantation；Ultra-high myopia；Complicated with cataract伴隨著我国超高度近视患者及白内障患者的增多，对患有白内障及伴超高度近视患者行手术消除白内障且有效恢复其视力为临床不断研究方向。
高度近视并发性白内障小切口摘除及人工晶状体植入的临床观察[ 09-05-07 16:35:00 ] 作者：温成林 贾俊红 编辑：studa20【摘要】 目的 观察高度近视并发性白内障小切口晶状体摘除联合人工晶状体植入的临床疗效及视力预后情况。
方法 对216例225 眼高度近视并发性白内障患者行巩膜隧道小切口晶状体摘除术,通过5.5～6 mm 切口植入人工晶状体。
术后观察3～24个月,平均12.5个月。
结果 术后第3个月矫正视力0.1～0.5 者102 眼,>0.5者89 眼。
术后平均屈光度为(-2.49±2.11) D。
发生术中、术后并发症,如后囊膜破裂、悬韧带断裂、玻璃体溢出、角膜水肿和后发障等共40 眼。
结论 高度近视并发性白内障小切口晶状体摘除联合人工晶状体植入术具有手术后视力恢复快、手术安全和并发症少等优点,对高度近视并发性白内障是一种安全、有效的增视手术,有些患者还获得了意外的好视力。
【关键词】白内障/外科手术;近视; 小切口晶状体摘除术/ 方法;视力【Abstract 】ObjectiveTo observe the therapeutic effect of Small incision-ECCE and posterior chamber intraocular lens implantation in high myopia. Methods Small incision-ECCE with implantation of a foldable IOL was performed on 225 eyes of 216 cases. Patients with complicated cataracts. The average age of the patients was 61.7 years ,the mean axial length was (28.42 ±1.84) mm , follow up visit time was 12.5 months in average.Results The best corrected visual acuity achieved 0.5 or better among 89 eyes. The postoperativecomplication was membrana vitreous anterior opacification and retinal detachment opacification. They were happened among40 eyes.Conclusion Small incision-ECCE and the posterior chamber IOL implantation offers the satisfactory visual acuity among high myopia ;Whereas for eyes with the axial lengths over 30mm ， there are complications which prevent from good vision.【Key words 】Cataract/ surgery ； Myopia ； Small incision-ECCE / methods ；vision高度近视并发性白内障小切口晶状体摘除联合人工晶状体植入术,是近年来兴起的以矫正高度近视和/ 或摘除混浊晶状体为目的的屈光性手术方法之一。
超高度近视合并白内障行超声乳化吸除及人工晶状体植入术的疗效观察目的:探讨超高度近视眼并发白内障行超声乳化吸除及人工晶状体植入术的临床疗效。
方法:表面麻醉下对24例40眼高度近视并发白内障患者行超声乳化吸除及低度数人工晶状体植入术。
术后观察患者的裸眼视力、最佳矫正视力、屈光度数和手术并发症。
随访6～12个月。
结果:术后最佳矫正视力≥0.3者共32眼(80%),其中≥0.5者共24眼(60%)。
术后屈光度数偏差值<±0.50D共32眼(80%);±0.50D<术后屈光度数偏差值<±1.00D共8眼(20%)。
术中无一例后囊膜破裂。
20例患者术后第1天角膜轻中度水肿,4例反应性高眼压,经处理后均在2～7 d内消退。
无视网膜和脉络膜脱离者。
结论:超高度近视眼并发白内障患者采用超声乳化吸除及人工晶状体植入术治疗,能有效改善患者的视力。
[Abstract] Objective: To observe the clinical effect of phacoemulsification and low power intraocular lens implantation for super high myopia with cataract. Methods: Phacoemulsifiaction and low power intraocular lens implantation were performed on 40 eyes of 24 patients with super high myopia. The uncorrected visual acuity, the best corrected visual acuity, diopter and complications were observed after the operation. The follow up perio was 6~12 months. Results: Postoperative best corrected visual acuity was ≥0.3 in 32 eyes (80%), ≥0.5 in 24 eyes (60%). The deviation value of diopter after the surgery was <0.50D in 32 eyes(80%),more than 0.50D but less than 1.00D in 8 eyes (20%). No posterior capsule rupture occurred;Corneal edema was found in 20 eyes on the first day after the surgery and 4 examples occurred ocularhypertension.It disappeared within 3 to 5 days through management. None of the eyes were found with retinal detachment,choroidal detachment. Conclusion: Phacoemulsifiaction and low powerintra ocular lens implantation can significantly improve visual acuity in patients with super high myopia and cataract.[Key words] Super high myopia; Cataract;Phacoemulsification; Intraocular lens implantation一般将近视度数大于9.00D者称为超高度近视,该类患者并发白内障较早,且大多有玻璃体后脱离及视网膜病变。
观察高度近视并发白内障患者行超声乳化联合人工晶状体植入术治疗的临床疗效赵晓华【期刊名称】《中国继续医学教育》【年(卷),期】2015(000)029【摘要】目的：观察高度近视并发白内障患者行超声乳化联合人工晶状体植入术治疗的临床疗效。
方法选取2010年1月～2013年12月在我院接受治疗的高度近视并发白内障患者50例（88眼），所有患者均实施超声乳化联合人工晶状体植入术治疗，回顾分析患者的基本资料及临床疗效。
结果所有患者均顺利完成手术治疗，其中术后视力上升超过0.4共28眼（31.8%）、视力上升0.1～0.4共49眼（55.7%）、视力上升＜0.1共11眼（12.5%）。
术后屈光度偏差值＜±0.50 D 65眼（74.0%）、＜±1.0 D 23眼（26.0%）。
结论超声乳化联合人工晶体植入术治疗高度近视并发白内障效果显著。
%Objective To investigate the clinical efifcacy of high myopia complicated cataract underwent phacoemulsification and intraocular lens implantation treatment.Methods In our hospital for treatment of high myopia complicated cataract patients 50 cases (88) from January 2010 to December 2013, all patients were to implement phacoemulsification and intraocular lens implantation, retrospective analysis of patients effect. Results All patients were successfully completed surgery, which rose more than 0.4 visual acuity of 28 eyes (31.8%), visual acuity increased by 0.1 to 0.4 Total 49 (55.7%), increased visual acuity <0.1 total of 11 (12.5%). Postoperation diopterdeviation value < ± 0.50 D 65 eyes ( 74.0% ), < ±1.0 D 23 eyes(26.0%).Conclusion Phacoemulsiifcation and intraocular lens implantation in high myopia complicated cataract signiifcant effect, should be popularized.【总页数】2页(P122-123)【作者】赵晓华【作者单位】450044郑州大学第四附属医院眼科【正文语种】中文【中图分类】R776.1【相关文献】1.超声乳化吸除与人工晶状体植入联合治疗高度近视并发白内障患者的临床疗效观察 [J], 宋军2.小切口非超声乳化人工晶状体植入术治疗38例伴高度近视的白内障患者疗效观察 [J], 潘福军;杨幼萍;胡德富;张海滨3.超声乳化联合人工晶状体植入术治疗高度近视并发白内障的临床疗效 [J], 张琼; 巫志勇4.观察行白内障超声乳化、人工晶状体植入术联合治疗对白内障患者黄斑中心凹视网膜厚度变化的影响情况 [J], 苏颖丹;曾静燕;张力5.小切口非超声乳化白内障摘除联合人工晶状体植入术治疗未矫正高度近视并发白内障的疗效观察 [J], 赵凤琼;李战梅;杨宇因版权原因，仅展示原文概要，查看原文内容请购买。
