目的 :评价高度近视白内障超声乳化及人工晶体植入术的临床疗效。方法 :对眼轴 >2 6mm的 38例、5 2眼高度近视并发白内障患者 (Ⅰ级核 5眼 ,Ⅱ级核 2 1眼 ,Ⅲ级核 2 6眼 )行超声乳化及人工晶体植入术。患者平均 5 7 4岁 (5 2～ 73岁 ) ,平均眼轴长度 2 7 2± 1 5 6mm(2 6 1～ 2 9 2mm) ,平均人工晶体屈光度 (8 2 3±4 76 )D(+ 2～ + 15 )D。结果 :术后 1周裸眼及矫正视力≥ 0 3者 38眼 (73 1% )。并发症主要包括后囊膜破裂 2眼 (3 85 % ) ,轻度角膜水肿 7眼 (13 5 % )。术后视力差的主要原因是高度近视视网膜病变。结论 :超声乳化及人工晶体植入术是高度近视并发白内障患者的理想术式 ,术者操作技巧是手术成功的关键 Objective: To evaluate the clinical effect of phacoemulsification and intraocular lens implantation in high myopia cataract. Methods: Thirty-eight cases with ocular axis> 26mm, phacoemulsification and intraocular lens implantation were performed in 52 eyes of high myopia with cataract (5 grade I, 21 grade II, 26 grade III) . The average age of patients was 57 years old (52 to 73 years) with mean axial length of 272 ± 165 millimeters (261 to 292 mm) and average intraocular lens refractive power (82 ± 4 76) D (+ 2 ~ + 15) D. Results: One week after operation, 38 eyes (73 1%) had uncorrected visual acuity ≥ 0.3. Complications included 2 eyes with posterior capsular rupture (3 85%) and 7 eyes with mild corneal edema (135%). Postoperative poor vision is the main reason for high myopia retinopathy. Conclusion: Phacoemulsification and intraocular lens implantation are the ideal surgical procedures for patients with high myopia complicated with cataract. Operation skill of the surgeon is the key to successful operation