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目的 :分析和探讨表面麻醉下行高度近视眼合并白内障超声乳化术的安全性及其疗效。方法 :对 45例 50只高度近视眼合并白内障患者进行表面麻醉下超声乳化术并植入人工晶状体 ,观察手术中疼痛感、并发症、术后疗效及与疗效相关问题。结果 :40例 45只眼无疼痛 ,3例 3只眼有轻微胀感 ,2例 2只眼胀痛 ,术中追加一次表面麻醉 ,1例 1只眼发生部分悬韧带离断 ,无视网膜脱离发生。结论 :表面麻醉下高度近视眼合并白内障超声乳化术安全、疗效确切、并发症少
Objective: To analyze and discuss the safety and efficacy of surface anesthesia for phacoemulsification with high myopia and cataract. Methods: 45 patients with 50 high myopia with cataract undergoing phacoemulsification under surface anesthesia were implanted intraocular lens (IOL). The pain, complications, postoperative efficacy and curative effect were observed. Results: No pain occurred in 40 eyes (45 eyes), slight swelling in 3 eyes (3 eyes), pain in 2 eyes (2 eyes), surface anesthesia in one case, partial suspensory ligament rupture in 1 eye, and no retinal detachment occur. Conclusion: High myopia with phacoemulsification under surface anesthesia is safe and effective, with less complications