后房型人工晶体植入术后视网膜脱离的治疗  

The treatment of retinal detachment after posterior chamber intraocular lens implantation

作　　者：徐冰[1,2] 张卯年[1,2] 付少山 

机构地区：[1]北京铁路总医院眼科 [2]解放军总医院眼科

出　　处：《中华眼底病杂志》1998年第3期165-166,共2页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的探讨后房型人工晶体植入术后视网膜脱离的治疗方法。方法对４年来收治的后房型人工晶体植入术后发生视网膜脱离行玻璃体切除联合巩膜环扎和眼内填充手术治疗的２０只眼做回顾性分析。结果视网膜完全复位１６只眼，部分复位２只眼，总复位率为９０％。术后视力提高１７只眼，占８５％，不变２只眼，下降１只眼。行人工晶体取出６只眼，占３０％。术后并发症５只眼，其中人工晶体偏斜２只眼，前房及玻璃体出血１只眼，硅油部分进入前房导致角膜局部变性２只眼。结论玻璃体切除联合巩膜环扎和眼内填充术。Objective To discuss the treatment of retinal detachment (RD) after posterior chamber intraocular lens(PCIOL) implantation. Methods Twenty eyes with RD after PCIOL implantation which were treated with vitrectomy combined with scleral buckling and intraocular tamponade from March 1993 to June 1997 in this institute were analysed retrospectively. Results The retinas reattached completely in 16 eyes and partly in 2 eyes after RD operation.The postoperative visual acuity improved in 17 eyes, not improved in 2 eyes,and decreasde in 1 eye.The PCIOL was taken off during RD operative in 6 eyes.Postoperative complications including displacement of the PCIOL in 2 eyes,silicone oil in anterior chamber in 2 eyes,hyphema and vitreous hemorrhage were found in this series of RD operation in 1 eye. Conclusion Vitrectomy combined with scleral buckling and intraocular tamponade is one of the effective methods to treat the eyes with RD with PCIOL.

关 键 词：手术并发症 视网膜脱离 病理学 治疗 

分 类 号：R779.660.6[医药卫生—眼科] R774.13[医药卫生—临床医学]