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目的 :探讨视网膜脱离行巩膜环扎术后白内障摘除联合人工晶状体植入术的效果和并发症。方法 :对 30例 (30只眼 )视网膜脱离行巩膜环扎术后的白内障进行白内障囊外摘除或超声乳化吸除联合人工晶状体植入术 ,观察术后最佳矫正视力及并发症。结果 :巩膜环扎术至白内障手术的平均时间间隔为 (4 1 7± 6 99)个月。白内障术后平均随防 (17 0 7± 2 5 3)个月 ,30只眼中 2 0只眼 (6 6 6 7% )的最佳矫正视力≥ 0 5 ,仅 1只眼于术后 3个月复发视网膜脱离。结论 :视网膜脱离行巩膜环扎术后 ,再施行白内障囊外摘除或超声乳化吸除联合人工晶状体植入术是安全的 ,大多数眼可获得较好的视力效果 ,很少引起视网膜脱离复发。
Objective: To investigate the effect and complications of cataract extraction combined with intraocular lens implantation after scleral buckling of retina. Methods: Thirty eyes (30 eyes) with cataract after scleral buckling were treated with extracapsular cataract extraction or phacoemulsification combined with intraocular lens implantation. The best corrected visual acuity and complications were observed. Results: The average time between scleral cerclage surgery and cataract surgery was (4 1 7 ± 6 99) months. The best corrected visual acuity was ≥5 after cataract surgery with an average of (17 0 7 ± 2 5 3) months and 20 eyes (6 6 6 7%) in 30 eyes, with only one eye 3 after operation Recurrence of retinal detachment. CONCLUSION: After scleral buckling of the retina, it is safe to perform extracapsular cataract extraction or phacoemulsification combined with intraocular lens implantation. Most eyes can obtain better visual acuity and less recurrence of retinal detachment.