Efficacy of phacoemulsification with intraocular lens implantation combined with capsular tension rings in the treatment of high myopia with cataract
10.3969/j.issn.1009-0754.2025.05.012
- VernacularTitle:超声乳化人工晶状体植入术结合囊袋张力环在治疗高度近视白内障患者中的疗效
- Author:
Jianling YANG
1
;
Wenjing SUN
Author Information
1. 710016 陕西西安,西安市凤城医院眼科
- Keywords:
Phacoemulsification;
Intraocular lens implantation;
Capsular tension ring;
High myopia combined with cataract;
Visual acuity;
Intraocular pressure;
Complications
- From:
Journal of Navy Medicine
2025;46(5):474-478
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of phacoemulsification with intraocular lens(IOL)implantation combined with a capsular tension ring in patients with high myopia and cataract.Methods A total of 76 patients with high myopia and cataract who were admitted to the Xi'an Fengcheng Hospital from February 2019 to May 2022 were assigned to control group(n=38)and study group(n=38)by random number table.The control group underwent phacoemulsification with IOL implantation,and the study group received additional treatment with a capsular tension ring on the basis of the control group.The best corrected visual acuity(BCVA),intraocular pressure(IOP),anterior chamber depth(ACD),effective lens position(ELP),subjective visual quality,and the incidence of postoperative complications were compared between the two groups.Results BCVA showed significant improvement after surgery in both groups(P<0.05),and postoperative BCVA in the study group was higher than that in the control group(P<0.05).There was no significant difference in IOP between the two groups(P>0.05).ACD and subjective visual quality were increased,and ELP was decreased after surgery in both groups(P<0.05),and these indexes in the study group were superior to those in the control group after surgery(P<0.05).The incidence of complications,such as retinal detachment,corneal edema,and corneal endothelial decompensation in the study group was lower than that in the control group(P<0.05).Conclusion Phacoemulsification with IOL implantation combined with capsular tension rings can improve visual acuity and intraocular structural stability in patients with high myopia and cataract.It is a recommended treatment.