【摘要】 目的:探讨玻璃体视网膜术后白内障超声乳化手术的特点、安全性和疗效。方法:回顾性分析2001年7月至2004年12月132例132眼行玻璃体视网膜术后白内障实施超声乳化术患者的临床资料,其中对有硅油充填的患眼67例(50.75%)行硅油取出联合白内障超声乳化术,分析手术的难点及并发症。结果:共随访7～14月,玻璃体视网膜术后白内障手术中发生悬韧带断裂改行植入单襻固定的悬吊式人工晶体者3例。术后矫正视力提高者123例(93.18%),视力无改变者6例(4.54%),复发视网膜脱离丧失视力者3例(2.27%)。结论:玻璃体视网膜术后白内障手术难度高,采用超声乳化手术易于调节和稳定眼内压、简化操作、减少术中及术后并发症;硅油取出联合白内障超声乳化手术是一种安全、经济实用的手术方法。更多还原

【Abstract】 Objective To evaluate the charactistics,safety and therapeutic effect of cataract phacoemulsification after vitreoretinal surgery. Methods We retrospectively reviewed 132 patients (132 eyes) which had phacoemulsification after vitreoretinal surgery between July 2001 and December 2004 in our hospital,among which 67 patients(50.75%) combined with silicon oil removal.We also analyzed the difficulties and complications of the surgery.Results Patients were followed up for 7~14 months.Three eyes with broken suspensory ligaments were implanted with one point transcleral fixed intraocular lens(iol).Corrected visual acuity improved in 123 patients (93.18%),no change in 6 patients (4.54%),and visual acuity loss in 3 patients (2.27%). Conclusion Cataract surgery is high difficult after the vitreoretinal surgery. Phacoemulsification can easily adjust and control intraocular pressure,simplify the operation,and reduce complications during and after the surgery. Silicon oil removal combined with cataract phacoemulsification is safe and economic.更多还原