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目的研究高度近视患者白内障术后后发性白内障接受后囊切开手术的治疗效果,探讨高度近视患者后发性白内障的安全手术方法。方法 2009年10月-2010年5月对高度近视白内障术后后发性白内障患者29例42眼行手术后囊切开,平均眼轴长度27.43mm,术中记录手术情况,术后检查测量患者视力及眼部情况。结果 3个月内所有患者术后裸眼及矫正视力提高,视力提高2行者90.48%,其中矫正视力>0.5者为80.95%,术中及术后未发生手术相关并发症。结论手术后囊切开对于高度近视白内障术后后发性白内障患者安全有效。
Objective To study the effect of posterior capsulotomy in cataract patients with high myopia after cataract surgery and explore the safe surgical methods for the treatment of posterior cataract in high myopia patients. Methods From October 2009 to May 2010, 29 patients (42 eyes) with cataract after cataract surgery of high myopia underwent posterior capsulotomy, with an average axial length of 27.43 mm. The intraoperative and postoperative recordings of patients Vision and eye condition. Results All the patients underwent 3 months visual acuity improvement in the uncorrected and corrected eyes. The visual acuity was improved by 90.48% in 2 patients, and the corrected visual acuity> 0.5 was 80.95%. No operative complications occurred during or after operation. Conclusions Posterior capsulotomy is safe and effective for patients with posterior capsular cataract after high myopia cataract surgery.