白内障超声乳化、玻璃体切除及人工晶体植入联合手术的疗效  

Combined phacomulcification,pars plana vitrectomy,and posterior chamber intraocular lens insertion

作　　者：杨燕宁[1] 邢怡桥[1] 杨安怀[1] 艾明[1] 吴建华[1] 

机构地区：[1]湖北医科大学附属第一医院眼科,430060

出　　处：《中国实用眼科杂志》1999年第12期734-736,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨白内障超乳化摘除 ,睫状体平坦部玻璃体切割及人工晶体囊袋内植入联合手术的疗效及安全性。方法 :对玻璃体视网膜病变合并白内障 18例 (18眼 )施行该联合手术。其中糖尿病性视网膜病变 ,玻璃体出血伴白内障 10例 ;视网膜分枝静脉阻塞 ,玻璃体出血伴白内障 4例 ;视网膜静脉周围炎 ,玻璃体出血伴白内障 3例及特发性视网膜前膜 1例 ,术后随访 2～ 13个月(平均 9月 )。结果 :术后视力均有不同程度提高。 12眼 (67% )术后最佳矫正视力为 0 .2 5～ 0 .8;3眼 (17% )为 0 .1～ 0 .2 ,(其余 3眼≤ 0 .0 5 )。主要并发症为术中 1例医源性视网膜裂孔。所有人工晶体均耐受良好。结论 :该联合手术对于经过选择的玻璃体视网膜病变合并白内障安全、有效 。To evaluate the efficacy and safety of combined surgery.Methods:Phacoemulsification,pars plana vitrectomy and implanation of a posterior chamber intraocular lens in the capsular bag was performed on 18 eyes with coexisting vitreoretinal disease and cataract.Preoperative viteoretinal disease included proliferative diabetic retinopathy (PDR) vitreous hemorrhage (10 eyes),Branch retinalvein occlusion (BRVD) vitreous hemorrhage (4 eyes),Eales disease.vitreous hemorrhage(3 eyes).Mean follow up was 10 months(3～14 months).Results:pos toperative visual acuity in each case.12 eyes achieved visal acuity between 0.25～0.6 and 3 eyes between 0.1～0.2.Perioperative complication was aniatrogenic retinal break(one eye).Posterior chamber lens implant appeared well tolerate.Conclution:The combined surgery in selected pations is a safe and effective approach and provides rapid visual rehabilitation with a single operation.

关 键 词：白内障 超声乳化术 人工晶体植入术 

分 类 号：R776.105[医药卫生—眼科]