摘要
目的 :探讨中老年近视患者的角膜屈光手术和晶状体屈光手术的选择。方法 :两例 5 0岁以上双眼近视患者的右眼均行白内障摘除人工晶状体植入术 ,两者的左眼先行角膜屈光手术 ,3年后又行白内障摘除人工晶状体植入术。术后随访最短 4个月 ,最长 4年 ,对术后情况进行对比、回顾分析。结果 :未经角膜屈光手术的白内障摘除人工晶状体植入术的效果最好。结论 :近视患者的屈光矫正手术的术式选择 ,应根据年龄、晶状体情况、近视程度和单、双眼情况 ,进行综合判断决定。对年龄在 5 0岁以上者 ,以选择晶状体屈光手术为佳。
Objective:To discuss the selection of corneal or lens refractive surgery in middle-aged and elderly patients with myopia.Methods:The results of treating two patients in their 50's were analyzed retrospectively. Both were treated with cataract extraction and intraocular lens (IOL) implantation on their right eyes and the same procedure was done on their left eyes after corneal refractive surgery. Follow-up ranged from 4 months to 4 years.Results:The outcome was better with IOL implantation without corneal refractive surgery than with the same procedure after corneal refractive surgery.Conclusion:The selection of refractive surgery in patients with myopia should be based on age, condition of the lens, degree of myopia, and monocular and binocular refraction. It is better to choose lens refractive surgery for patients 50 years of age or older.
出处
《眼视光学杂志》
2000年第3期156-158,共3页
Chinese Journal of Optometry & Ophthalmology
关键词
近视
角膜屈光手术
人工晶状体植入术
中老年
myopia
corneal refractive surgery
IOL implantation
middle aged
elderly
