硅油填充眼并发性白内障的手术治疗  

The surgical treatment of complicated cataract after silicone oil infusion

作　　者：高玉[1] 柳林[1] 

机构地区：[1]第二军医大学附属长海医院眼科,上海200433

出　　处：《中国实用眼科杂志》2007年第9期1036-1038,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨白内障超声乳化摘除、经睫状体平坦部硅油取出、人工晶状体（IOL）植入联合手术治疗硅油填充眼并发性白内障的临床疗效。方法 对11例11只硅油填充眼并发性白内障进行白内障超声乳化摘除、经睫状体平坦部硅油取出、IOL植入联合手术。术后随访3个月以上。结果 术后BCVA较术前BCVA均有不同程度的提高,54.55%（6/11）提高明显。所有患者均无视网膜脱离再发、IOL移位等特殊并发症发生;余留晶状体前后囊膜均有不同程度混浊,中央部因无囊膜组织而透明。结论 该联合手术是治疗硅油填充眼并发性白内障安全、有效的方法。严格手术适应证,选择合适的病例,以及具备相当成熟的手术技巧,是手术成功的关键。Objective To evaluate the therapeutic effect of combined phacoemulsification, silicone oil removal through the ciliary body flat incision and intraocular lens implantation in the eyes with silicone oil tamponade. Methods In this study, we selected 11 eyes of 11 cases with silicone oil tamponade underwent combined phacoemulsification, silicone oil removal through the ciliary body flat incision and intraocular lens implantation. Follow-up was more than 3 months. Results The post-BCVA was better than the pre-BCVA in varying degree, 54.55 % （6/11） increased obviously. Corneal endothelium functional decompensation, residual silicone oil, lens dislocation, secondary glaucoma, and retinal detachment were not observed in any patients. The remainders of lens capsule had various degrees of opacity. The centers of IOL were clarity for lack of lens capsule. Conclusion The combined surgery is safe, effective approaches. Strict operating indications, selecting appropriate cases, and experienced operating skill are successful keys.

关 键 词：硅油取出 白内障 超声乳化 人工晶状体 

分 类 号：R697.32[医药卫生—泌尿科学]