【摘要】 目的 研究高度近視患者白內障術后后發性白內障接受后囊切開手術的治療效果，探討高度近視患者后發性白內障的安全手術方法。 方法 2009年10月-2010年5月對高度近視白內障術后后發性白內障患者29例42眼行手術后囊切開，平均眼軸長度27.43 mm，術中記錄手術情況，術后檢查測量患者視力及眼部情況。 結果 3個月內所有患者術后裸眼及矯正視力提高，視力提高2行者90.48%，其中矯正視力gt;0.5者為80.95%，術中及術后未發生手術相關并發癥。 結論 手術后囊切開對于高度近視白內障術后后發性白內障患者安全有效。【Abstract】 Objective To investigate the therapeutic effect of posterior capsulotomy in order to evaluate the effective and safe therapeutic method for myopia after cataract patients with high myopia. Methods Between October 2009 and May 2010, 29 cases (42 eyes) of after cataract with high myopia were chosen and undergone posterior capsulotomy.Data of operation details, vision acuity (VA) and eye examination were analyzed. Results The post-operative naked vision and best-corrected visual acuity (BCVA) were improved in all patients.No surgery-related complication was found. Conclusion Posterior capsulotomy in treating posterior capsular opacification (PCO) of after cataract with high myopia is a safe and effective method.