论文部分内容阅读
目的探讨玻璃体切除硅油填充术后并发白内障的手术方法及治疗效果。方法回顾性分析32例33眼玻璃体切除硅油填充术后并发性白内障病例的临床资料,晶体囊外摘除+一体式人工晶体植入术8眼,联合取出硅油3眼;单纯晶体囊外摘除术+硅油取出3眼;超声乳化白内障摘除+折叠人工晶体植入术18眼,联合取出硅油1眼;单纯超声乳化白内障摘除术4眼,比较两种方法术后视力、手术并发症情况。结果囊外摘除术11眼中,8眼视力有提高,占72.73%;超声乳化术22眼中,16眼视力提高,占72.73%。囊外摘除术6眼硅油溢出,高达45.55%,超声乳化术仅2眼后囊破口。结论两种手术方法术后的视力较术前均有显著提高;晶体超声乳化具有更安全、稳定的优点,是目前首选的手术方式;熟练、轻巧的手术操作也是手术成功的关键。
Objective To investigate the surgical treatment and treatment of cataract after vitrectomy silicone oil filling. Methods The clinical data of 32 cases with complicated cataract after vitrectomy and silicone oil packing were retrospectively analyzed. Eight cases of extracapsular cataract extraction combined with intraocular lens implantation and three cases of silicone oil were removed. Extracapsular extracapsular cataract extraction + Three eyes were removed with silicone oil, 18 eyes with phacoemulsification and foldable intraocular lens implantation, one eye with silicone oil were removed, and 4 eyes with phacoemulsification and visual acuity were compared. Results Among the 11 cases of extracapsular enucleation, visual acuity was improved in 8 eyes, accounting for 72.73%. In 22 eyes of phacoemulsification, visual acuity was improved in 16 eyes (72.73%). 6 cases of extracapsular silicone oil overflow, up to 45.55%, phacoemulsification only 2 posterior capsule break. Conclusion The postoperative visual acuity of the two surgeries is significantly higher than that before the operation. Phacoemulsification with safer and more stable ophthalmic surgery is the first choice for surgery. Skilled and lightweight surgery is also the key to successful operation.