经透明角膜切口行白内障超声乳化并硅油取出观察  

Primary clinical evaluate transpupillary removal of silicone oil combined with cataract phacoemulcification

作　　者：韩泉洪[1] 楚艳华[1] 刘玉燕[1] 

机构地区：[1]天津医科大学眼科临床学院,天津市眼科医院,天津300020

出　　处：《中国实用眼科杂志》2010年第1期64-66,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价玻璃体切割硅油填充患者经透明角膜切口行白内障超声乳化联合通过瞳孔进行硅油取出的临床效果。方法选择临床高度近视黄斑裂孔性视网膜脱离行玻璃体切割以及硅油填充术后白内障患者11例，手术方法为白内障超声乳化、后囊切开以及硅油取出。评价手术时间、术后反应以及视力恢复。结果手术时间基本控制在15min以内，大部分病例透明角膜切口不需要缝合。术后未见视网膜脱离和玻璃体出血，部分病例有不同程度的角膜水肿，患者无明显刺激症状。结论经透明角膜切口行白内障超声乳化联合通过瞳孔区硅油取出的方法可以快速、安全完成，相比经巩膜切口的方法术后反应轻，并发症少。Objective The purpose thestudy was to evaluate transpupillary removal of silicone oil combined with cataract phacoemulcification in patients after pars plana vitrectomy.Methods A prospective case-control study.Eleven cases of high myopic patients underwent cataract phacoemulcification combined with planned posterior capsulotomy to remove of silicone oil, which had served as intraocular tamponade for macular hole retinal detachment.Main outcome measurements included duration of surgery, postoperative reaction and visual rehabilitation.Results Durations of surgeries were less than 15 min, and most of corneal incisions did not need suture.There was no case of retinal redetachment and vitreous hemorrhage.Some cases had slightly cornea edema, and most cases had no obviously irritating symptoms.Conclusions Silicone oil removal can be combined with cataract phacoernulcification through dear cornea incision.In view of a decreased frequency of postoperative complications and shorter duration of surgery and visual rehabilitation, transpupillary drainage of silicone oil through a planned posterior capsulotomy compares favorably with removal of silicone oil through pars plana sclerotomies.

关 键 词：高度近视 超声乳化白内障吸除术 硅油 黄斑裂孔 

分 类 号：R779.66[医药卫生—眼科]