ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-033 综述 2025, (04)

合并高度近视的白内障手术治疗临床研究进展

达州中医药职业学院

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摘要

人口老龄化加剧和电子产品的广泛应用,均会影响人群视功能,并在一定程度上增加眼科疾病的发生。白内障是世界范围内的第一位致盲眼病,主要表现眼球晶状体浑浊导致视力下降,渐进性视力下降是白内障一个典型表现,患者晶状体密度变化,表现为近视度数加深,单看东西呈多个物像等。高度近视患者罹患白内障的风险也较高,手术难度大,更容易出现术中后囊膜破裂、术后视网膜脱离等并发症。随着人们对视功能要求不断提高,高度近视合并白内障接受手术治疗的患者越来越多。临床常用的手术方法包括白内障超声乳化术、白内障囊外摘除术、人工晶体植入术等,不同手术适用对象不同、术后并发症不同。综合分析不同患者的情况与晶状体状况,选择适合的手术方法,并于合适的手术时机开展治疗方案,这对于患者视功能改善具有积极的意义。本文检索国内外权威文献及资料,从手术方式选择、人工晶状体选择、眼部生物数据测量与人工晶体计算公式、术后并发症等方面进行分析,以期为临床相关领域提供更多的参考依据。

Abstract

Both population aging and the widespread use of electronic products can affects patients’ visual function and to some extent increases the incidence of ophthalmic diseases. Cataract is the world’s first blinding eye disease, which is caused by the opacity of the eye lens leading to a decrease in vision. Gradual vision loss is a typical manifestation of cataracts, where patients experience changes in lens density, resulting in increased myopia and seeing single objects as multiple images. Patients with high myopia also have a higher risk of developing cataracts, and the surgery is difficult, making them more prone to complications such as intraoperative posterior capsule rupture and postoperative retinal detachment. With the increasing demand for visual function, more and more patients with high myopia combined with cataracts are undergoing surgical treatment. The commonly used surgical methods in clinical practice include cataract phacoemulsification, extracapsular cataract extraction, intraocular lens implantation, etc. Different surgeries are suitable for different populations and have different postoperative complications.Comprehensively analyzing the conditions of different patients and the condition of the crystalline lens, selecting appropriate surgical methods, and implementing treatment plans at the appropriate surgical timing has positive significance for improving patients’ visual function. This article searches for authoritative literature and materials both domestically and internationally, analyzing surgical method selection, intraocular lens selection, ocular biological data measurement and intraocular lens calculation formula, postoperative complications, etc, in order to provide more reference basis for clinical related fields.

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[1]闫登洪,魏文双.合并高度近视的白内障手术治疗临床研究进展[J],2025,01(04):.