微创玻璃体切除联合空气填充术治疗后囊破裂的人工晶状体眼孔源性视网膜脱离的临床效果  

Clinical efficacy of minimally invasive vitrectomy combined with air tamponade for the treatment of rhegmatogenous retinal detachment with ruptured posterior capsular intraocular lens

作　　者：唐文建[1] 尹娟娟[1] 王瑞峰[1] Tang Wenjian;Yin Juanjuan;Wang Ruifeng(Department of Ophthalmology,Zhengzhou Municipal the Second People’s Hospital,Zhengzhou Eye Institute,Zhengzhou 450052,China)

机构地区：[1]郑州市第二人民医院眼科郑州市眼科研究所,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2023年第4期292-295,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察微创玻璃体切除联合无菌空气填充术治疗后囊破裂人工晶状体眼孔源性视网膜脱离(RRD)的效果和安全性。方法回顾性队列研究。分析郑州市第二人民医院2020年12月至2022年6月于行25G微创玻璃体切除联合无菌空气填充术的后囊破裂人工晶状体眼RRD 29例(29眼)的临床资料。术后随访3~6个月,观察术后1周、1、3、及6个月视力(BCVA,logMAR)。结果所有患者手术顺利,术后1周所有患者视网膜完全复位。术后1周、1、3及6个月BCVA依次为0.91±0.20、0.83±0.17、0.76±0.19、0.72±0.20,均优于术前BCVA为1.33±0.33(F=37.80,P<0.001)。21例(72.41%)术后视力提高;6例(20.69%)无变化;2例(6.89%)视力下降。19例黄斑脱离者中18例(94.74%)术后视力提高。无脉络膜脱离、脉络膜上腔出血、感染性眼内炎、人工晶体脱位或明显移位等并发症发生。结论微创玻璃体切除眼内无菌空气填充治疗后囊破裂人工晶状体眼孔源性视网膜脱离安全、有效,复位成功率高,视力明显提高。Objective To observe the efficacy and safety of minimally invasive vitrectomy combined with air tamponade in the treatment of rhegmatogenous retinal detachment(RRD)with posterior capsular incomplete intraocular lens(IOL).Methods This was a retrospective cohort study.The clinical data of 29 patients of RRD with posterior capsular incomplete IOL who underwent 25G minimally invasive vitrectomy with air tamponade from Dec.2020 to Jun.2022 in the Second People’s Hospital of Zhengzhou were analyzed.The patients were followed up for 3-6 months,BCVA(logMAR)was observed at 1 week,1,3,and 6 months after operation.Results All patients were successfully operated,and the retina was completely reattached at 1 week after operation.At the last follow-up,BCVA was 0.91±0.20,0.83±0.17,0.76±0.19 and 0.72±0.20 at 1 week,1 month,3 months and 6 months after surgery,respectively,which was better than that before surgery(1.33±0.17)(F=37.80,P<0.001).Visual acuity improved in 21 cases(72.41%)and remained unchanged in 6 cases(20.69%)after surgery and decreased in 2 cases(6.89%).Among the 19 patients with macular detachment,18(94.74%)had improved visual acuity after surgery.No choroid detachment,supraperoidal hemorrhage,infectious endophthalmitis,IOL dislocation or obvious displacement and other complications occurred.Conclusion Minimally invasive vitrectomy with air tamponade in the treatment of RRD with posterior capsular incomplete IOL is safe and effective,with a high success rate of reduction and visual acuity improvement.

关 键 词：玻璃体切除 微创 填充 空气 晶状体眼 人工 破裂 后囊 脱离 视网膜 孔源性 

分 类 号：R779.6[医药卫生—眼科]