摘要
目的:观察玻璃体切割术后硅油填充眼行微切口白内障超声乳化联合睫状体平坦部硅油取出术的临床疗效。方法:2013-02/11对43例43眼玻璃体切割术后硅油填充眼合并白内障患者行微切口白内障超声乳化联合睫状体平坦部硅油取出术,术中均Ⅰ期植入人工晶状体,观察患者术后3mo最佳矫正视力和手术并发症发生情况等。结果:术后3mo,最佳矫正视力较术前提高者共39例(91%),最高矫正视力达0.6,视力无提高者4例(9%)。所有患者均未发生后囊膜破裂、硅油残留、角膜内皮失代偿、前房积血、玻璃体积血、人工晶状体移位、继发性青光眼、锯齿缘离断等并发症。结论:微切口超声乳化人工晶状体植入术联合睫状体平坦部硅油取出术是一种有效、安全的手术方式。
AIM. To observe the clinica phacoemulsification combined from pars plana in eyes with s vitrectomy. effect of micro-incision with silicone oil removal icone oil tamponade after METHODS： Forty-three patients （43 eyes） with cataract and silicone oiltamponade after vitrectomy underwent micro-coaxial phacoemulsification combined with silicone oil removal from pars plana between February 2013 and November 2013. Intraocular lens was implanted at stage I in all cases. The best corrected visual acuity was observed at 3mo after operation, and the complications were recorded. RESULTS： The best corrected visual acuity in 39 cases （91%） was improved at 3mo after operation, and the best outcome was 0.6. There were still 4 cases （9%） without improvement of visual acuity. There was no incidence of complications such as posterior capsular rupture, residual silicone oil, corneal endothelial decompensation, hyphema, vitreous hemorrhage, intraocular lens dislocation, secondary glaucoma and ora serrata mutilation after operation in all patients. CONCLUSION： Microinvision phacoemulsification combined with silicone oil removal from pars plana is aneffective and safe method for eyes with cataract and silicone oil tamponade after vitrectomy.
出处
《国际眼科杂志》
CAS
2014年第7期1266-1268,共3页
International Eye Science
作者简介
张瑞帆，毕业于复旦大学医学院，眼科学硕士，主治医师，研究方向：白内障、眼底病。
通讯作者：钟捷，主任医师，研究方向：眼底病、眼外伤．zjllxx1968@yahoo．com．cn.
