眼外导光照明视网膜光凝联合前房注气在白内障玻璃体视网膜术中应用  

Microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in cataract joint vitreoretinal surgery

作　　者：刘鹏飞[1] 

机构地区：[1]唐山市眼科医院,河北唐山063000

出　　处：《中国实用眼科杂志》2016年第6期601-603,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨显微镜下眼外导光照明、视网膜激光光凝联合前房注气在白内障联合玻璃体视网膜手术中的疗效及可行性。方法回顾性分析2010年1月至2014年7月在唐山市眼科医院就治的47例（47只眼）合并晶状体后囊破裂的眼内异物患者实施白内障联合玻璃体视网膜手术。其中周边视网膜格子样变性39只眼，视网膜裂孔者7只眼，玻璃体积血30只眼，视网膜脱离7只眼，锯齿缘解离2只眼。实施白内障摘除、玻璃体切除、视网膜光凝、人工晶状体植入、眼内注气术，术中显微镜下眼外导光照明、视网膜激光光凝联合前房注气。术后观察视力、人工晶状体、视网膜情况及并发症。术后随访6—11个月，平均（6．14±2．15）月。结果47例患者中，42只眼充填C3F8，5只眼充填硅油。44只眼视力不同程度改善。41只眼人工晶状体正位，1只眼人工晶状体略偏斜。3只眼发生孔源性视网膜脱离。8只眼继发性青光眼，药物治疗1周至2周眼压恢复正常。2只眼角膜内皮面增生膜生长。结论显微镜下眼外导光照明、视网膜激光光凝联合前房注气在白内障联合玻璃体视网膜手术中操作方便，安全可靠，减少了手术并发症发生，有很好的实用价值。此术式是白内障玻璃体视网膜联合手术的有力补充。Objective To study the clinical efficacy and feasibility associated with microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in the cataract joint vitreoretinal surgery. Methods It was a retrospective analysis of 47 cases （47 eyes） with intraocular foreign bodies and lens capsule rupture was performed cataract joint vitreoretinal surgery. Among 47 cases, peripheral lattice retinal degeneration in 39 eyes, peripheral retinal tear in 7 eyes, vitreous hemorrhage in 30 eyes, retinal detachment in 7 eyes, retinal serrated edge disintegrate in 2 eyes. The patients were performed cataract extraction, vitrectomy, retinal laser photocoagulation, artificial lens implantation and C3F8 intraocular tamponade operations. In operation, Microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade was adopted. After the surgery, intraocular lens, retina, visual acuity, intraoperative and postoperative complications were observed. The followed-up ranged from 6 to 11 months, mean （6.14±2.15） months. Results Intraocular gas filled in 42 eyes, intraocular silicone oil tamponade in 5 eyes. Vision improved in different levels in 44 eyes. Intraocular lens were normotopia in 41 eyes, intraocular lens slightly oblique in l eye, rhegmatogenous retinal detachment in 3 eyes, secondary glaucoma in 8 eyes, intraocular pressure backed to normal for from one to two weeks after drug treatment. There were proliferative membrane on corneal endothelial in 2 eyes. Conclusions Microscopi cally eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in the cataract joint vitreoretinal surgery is easy to operate, safe and reliable, it has a good practical value, reduce the surgical complications. This procedure is a powerful supplement of cataract joint vitreoretinal surgery.

关 键 词：眼外导光照明 视网膜光凝 前房注气 眼内异物 白内障联合玻璃体视网膜手术 

分 类 号：R779.6[医药卫生—眼科]