JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (1): 40-43.doi: 10.6040/j.issn.1673-3770.0.2014.274

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Effects of different intraocular lens on macula area of high myopia associated with cataract

ZHU Zi-cheng, WEN Yue-chun, WU Zhang-you, KE Gen-jie   

  1. Department of Ophthalmology, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, Anhui, China
  • Received:2014-08-19 Online:2015-02-16 Published:2015-02-16

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Abstract: Objective To observe and analyze the effects of different intraocular lens(IOL) on macular thickness of high myopia associated with cataract in order to provide a clinical supporting of acquiring a best IOL for these patients. Methods Totally 68 patients (78 eyes) with high myopia were performed on phacoemulsification in combination with IOL implantation, including three kinds of IOL: Bigbag, MA60MA and PMMA which were 28, 26 and 24 eyes respectively. The post-operative 1 week, 1 and 3month's best-corrected visual acuity(BCVA), pre-operative and post-operative macular thickness at different stages were observed and measured by optical coherence tomography. Results BCVA increased in different degree in the three groups. The difference of macular thickness at 1 week and 1 month after surgery in the Bigbag group was significantly smaller than that of the MA60MA and PMMA groups(P<0.05). Compared with the pre-operative macular thickness, there were no significantly changes in the three groups (P>0.05). No serious post-operative complications occurred in three groups. Conclusion Phacoemulsification in combination with Bigbag IOL implantation could improve the visual acuity of patients with cataract and high myopia, play a stabilizing role of supporting the post-operative posterior capsule so as to provide a beneficial effect on maintaining the stability of the axial apace structure in eye and reduce the influence of the posterior segment of the eyeball.

Key words: High myopia, Intraocular lens, Macula, Cataract

CLC Number: 

  • R779.11
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