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目的:探讨晶状体、玻璃体切割术后硅油填充眼经透明角膜切口和经睫状体平坦部置灌注管分别行硅油取出联合人工晶状体植入2种手术方式临床疗效。方法:对晶状体、玻璃体切割术后硅油填充眼后发性白内障患者28例(28眼)经透明角膜切口(Ⅰ组)行联合手术,对21例经睫状体平坦部置灌注管(Ⅱ组)行联合手术。结果:Ⅰ组中有18例?64%?最佳矫正视力达0.2～0.5;7例(25%)视力为0.02～0.1;3例(11%)视力为光感～数指(包括2例视网膜脱离复发者?。Ⅱ组中13例(62%)最佳矫正视力达0.2～0.5;5例?24%?视力为0.02～0.1;3例(14%)视力为光感～数指?包括2例视网膜脱离复发者?。结论:硅油取出联合人工晶状体植入术对于晶状体、玻璃体切割术后硅油填充眼并发后发性白内障及硅油乳化是一种安全、有效的提高视力的方法,经透明角膜切口行此手术简化了手术步骤,可减少手术并发症的发生。
Objective: To investigate the clinical effects of two kinds of surgical methods of silicone oil extraction combined with intraocular lens implantation in patients with vitreous and vitrectomy after transplanting corneal incision and transection of ciliary body with flat portion. Methods: 28 cases (28 eyes) with posterior cataract who underwent vitrectomy and vitrectomy were treated with clear corneal incision (group Ⅰ) and 21 cases with transected ciliary body (group Ⅱ) ) Line joint surgery. Results: The best corrected visual acuity was 0.2 ~ 0.5 in 18 cases (64%) in group Ⅰ, and the visual acuity was 0.02 ~ 0.1 in 7 cases (25%). The visual acuity of 3 cases (11% Retinal detachment recurrence? Ⅱ group of 13 cases (62%) best corrected visual acuity of 0.2 to 0.5; 5 cases of 24% visual acuity of 0.02 to 0.1; 3 cases (14%) visual acuity ~ Including 2 cases of recurrence of retinal detachment.Conclusion: Silicone oil extraction combined with intraocular lens implantation is a safe and effective method of improving visual acuity for phacoemulsification and phacoemulsification after vitrectomy for vitreous and vitrectomy. Transparent corneal incision line operation to simplify the surgical procedures, can reduce the incidence of surgical complications.