Clinical effects of phacoemulsification and IOL implantation for cataract with high myopia

Objective To evaluate the clinical effects of phacoemulsification and IOL implantation for cataract with high myopia.Methods 68 cases(76 eyes)(groupⅠ) with cataract and high myopia and 76 casas(84 eyes)(groupⅡ) of senile cataract had undergone phacoemulsification and IOL implantation respectively.Intraoperative ultrasound energy and time,postoperative complications,visual acuity and the changes of corneal endothelial cell were observed between two groups.Results There was no significant difference of the intraoperative ultrasound energy and time between two groups.Postoperative visual acuity better than 0.3 accounted for 77.6% in groupⅠ,96.4% in groupⅡ.Posterior capsular rupture occured in 2 eyes(2.6%) of groupⅠ.Posterior capsular opacification occurred in 15eyes(19.7%) of groupⅠ,11eyes(13.1%) of groupⅡ.YAG laser capsulotomy was done in 5 eyes(6.6%) of groupⅠ,11eyes(13.1%) of groupⅡ.3 month after operation corneal endothelial cell density in two groups were 2239.27±336.02/mm2 and 2173.51±352.39/mm2 respectively.There was no significant difference of the corneal endothelial cell density between two groups(T=1.294,P0.05).There was difference significantly of corneal endothelial cell density between before operation and 3 month after operation in two groups(T=3.633,T=3.482,P0.01).Conclusion Phacoemulsification and IOL implantation is an effective and ideal method for cataract with high myopia.But perfect surgical techniques are necessary.