保留晶状体前囊的玻璃体晶状体切除术临床观察  

Clinical observation on the efficacy of preserving anterior lens capsule in lensectomy combined with vitrectomy surgery

作　　者：史志洁 吕晓贝 

机构地区：[1]洛阳市第一人民医院眼科,洛阳471000 [2]郑州大学第一附属医院眼科,郑州450000

出　　处：《中华眼外伤职业眼病杂志》2016年第8期587-590,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：【摘要】目的观察保留完整晶状体前囊的方法在晶状体切除联合玻璃体切除手术的临床效果。方法对伴有晶状体浑浊的玻璃体视网膜疾病68例（68眼）进行观察分析。做常规平坦部三通道玻璃体切除及晶状体切除术，玻切头从后方切除中央部晶状体后囊、晶状体核及皮质，保留周边部晶状体后囊及完整的晶状体前囊，然后进行玻璃体切除、视网膜复位等手术操作。结果术后随访12个月，本组68例中66例（97．06％）视网膜复位良好，视网膜脱离未复发；2例（2．94％）视网膜脱离复发经再次硅油填充后视网膜复位。术后6个月后行二期人工晶状体植入术。结论保留完整晶状体前囊的晶状体切除联合玻璃体切除术治疗伴晶状体浑浊的玻璃体视网膜疾病是一种缩短手术时间和减少并发症的安全而有效的手术方式。Objective To observe the efficacy of presetting complete anterior lens capsule in lensectomy combined with vitrectomy. Methods The records of 68 eyes of 68 patients with vitreoretinal disease complicated with opaque lens were analyzed. The conventional three-channel pars plana vitrectomy and lensectomy were performed on all patients, The eental part of posterior capsule, nucleus and cortex of lens were resected completely by cutting head. The complete anterior capsule and peripheral part of the posterior capsule of lens were retained. Vitrectomy and retinal reattachment operations were performed after above operation. Results The patients were followed up for 12 months. The retina reattached in 66 cases of 68 patients （97.06%） . Two cases （2.94%） occurred recurrent retinal detachment, which were reattached after silicone oil tamponade. The posterior chamber IOL implantation were performed at 6 months after vitrectomy and lensectomy surgery. Conclusion Preserving complete anterior lens capsule in lensectomy and vitrectomy surgery is a safe and effective treatment ,which can shorten operative time and reduce complication.

关 键 词：晶状体前囊 玻璃体切除术 晶状体切除术 玻璃体视网膜疾病 

分 类 号：R779.6[医药卫生—眼科]