分析５４例（７５只眼）高度近视白内障超声乳化摘除术的疗效。本组平均眼轴长２９．０３±２．６４ｍｍ（２６．１２～３４．３９ｍｍ），人工晶体植入组平均眼轴长２８．１６±１．９７ｍｍ，非人工晶体植入组平均眼轴长３０．８２±２．０３ｍｍ。平均随访１６．５个月。术后矫正视力≥０．５者占６１．３％，脱盲率为９４．７％，脱残率为７８．７％。影响术后视力主要原因为高度近视所致眼底病变，后囊膜破裂是造成术后视网膜脱离最危险因素。 Analysis of 54 cases (75 eyes) of high myopia cataract phacoemulsification effect. The average axial length of the group 29.03 ± 2.64mm (26.12 ~ 34.39mm), intraocular lens implantation group average axial length 28.16 ± 1.97mm, non-artificial lens group average axial length 30.82 ± 2.03mm. The average follow-up of 16.5 months. Postoperative corrected visual acuity ≥ 0.5 accounted for 61.3%, the blindness rate was 94.7%, the disability rate was 78.7%. The main reason for postoperative visual acuity is retinal degeneration caused by high myopia, posterior capsular rupture is the most risk factor for postoperative retinal detachment.