《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (08): 762-763.

• 临床研究 • 上一篇    下一篇

有晶状体眼人工晶状体植入术矫正高度近视临床观察

刘莉; 王丽强; 董素霞; 沈向学   

  1. 中国人民解放军总医院眼科近视矫治中心,北京市 100853
  • 收稿日期:2006-12-30 出版日期:2007-08-01 发布日期:2007-08-01

Effect of Implantation of Verisyse Iris-claw Intraocular Lens for the Correction of High Myopia

LIU Li, WANG Li-qiang, DONG Su-xia, et al   

  1. The Department of Ophthalmology, the General Hospital of PLA, Beijing 100853, China
  • Received:2006-12-30 Published:2007-08-01 Online:2007-08-01

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摘要： 目的探讨虹膜夹型有晶状体眼人工晶状体植入术矫正高度近视的有效性及安全性。方法对9例高度近视患者(18眼,术前屈光度-6.75～-28.00DS)行虹膜夹型有晶状体眼人工晶状体植入术,术后观察患者裸眼视力、最佳矫正视力、眼压、屈光度、晶状体在眼内的位置、角膜内皮细胞计数、术后并发症等。结果18眼均成功植入人工晶状体。术后3个月时,11眼(61.1%)裸眼视力≥0.5,9眼(50.0%)最佳矫正视力≥0.8,裸眼视力及最佳矫正视力均较术前明显提高(P<0.01);眼压、角膜内皮细胞计数与术前相比差异均无统计学意义(P>0.05);1眼瞳孔呈轻度竖椭圆形;2眼人工晶状体轻度偏位;2眼夜间眩光;无严重并发症发生。结论虹膜夹型有晶状体眼人工晶状体植入术矫正高度近视近期疗效明显。

关键词: 有晶状体眼, 虹膜夹型人工晶状体, 高度近视

Abstract: Objective To investigate the effect of Verisyse iris-claw intraocular lens implantation on correction of high myopia.Methods9 patients with highly myopic (18 eyes and diopter between-6.75 DS to-28.00 DS) were treated with Verisyse intraocular lens implantation. All the treated eyes were observed for uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), intraocular pressure, anterior segment changes and corneal endothelium preoperatively and postoperatively.ResultsThe implantation was successfully performed in all of 18 eyes. After 3 months, 11 eyes (61.1%) had the uncorrected visual acuity (UCVA) ≥0.5; 9 eyes (50.0%) had the best corrected visual acuity (BCVA) ≥0.8. UCVA and BCVA of every eye were significant improved ( P<0.01); the mean corneal astigmatism and mean intraocular pressure were not different from preoperation ( P>0.05). In all patients, one eye was oval and 2 other eyes showed decentered phakic IOL; 2 patients (2 eyes) complained of halo and glare; no severe complications occurred.ConclusionThe implantation of Verisyse iris-claw intraocular lens for the correction of high myopia has a significantly effect.

Key words: phakic eyes, Verisyse iris-claw lens, high myopia