Influencing factors of curative effect of PHACO combined with intraocular lens implantation in the treatment of high myopia with cataract

Abstract

AIM: To analyze influencing factors of the curative effect of phacoemulsification(PHACO)combined with intraocular lens implantation in the treatment of high myopia with cataract.METHODS: The clinical data of 80 cases patients(91 affected eyes)with cataract and high myopia who underwent phacoemulsification and intraocular lens implantation in the hospital from February 2016 to March 2019 were analyzed retrospectively. According to the best corrected visual acuity(BCVA)at 3mo after operation, the patients were divided into low vision group(BCVARESULTS: All patients completed surgery successfully, and there were statistically significant differences in BCVA before and after surgery(PP30 mm, preoperative intraocular pressure ≥21mmHg, corneal astigmatism ≥1.30D, grade Ⅲ-Ⅳ lens nucleus, preoperative diabetic retinopathy and macular degeneration were the independent risk factors for postoperative visual recovery in patients with high myopia and cataract(PCONCLUSION: PHACO combined with intraocular lens implantation is markedly effective in the treatment of high myopia with cataract. However, the curative effect is affected by axial length, preoperative intraocular pressure, corneal astigmatism, grade of lens nucleus, preoperative diabetic retinopathy and macular degeneration, which deserves attention.

Keywords

• phaco
• intraocular lens implantation
• high myopia
• cataract
• influencing factor