摘要
总结１２例（１２只眼）复杂性视网膜脱离行硅油充填术后发生全白内障的手术情况及效果，１２只眼中，１０只眼顺利行白内障囊外摘除，硅油未发生任何流失，其中１例同时植入人工晶体；２只眼术中发生较大量硅油流失而同时取净眼内硅油。经过３～３０个月（平均１０个月）的随访，硅油未流失者１０例（１０只眼），后囊完整，眼底清楚，视网膜平复，视力恢复至视网膜脱离术后的最佳视力以上；２例硅油取出术后发生视网膜再脱离。讨论了此种白内障手术的要点，提出能有效预防术中硅油流失和术后保持后囊透明的方法。
Twelve eyes of twelve cases of cataract after complicated retinal detachment surgery and silicone oil tamponade were treated in this report.Successful extracapsular cataract extraction(ECCE)was performed on 10 of the 12 cases, no oil escape occurred in any of the operation and in one eye an in-traocular lens was implanted. Intraoperatively,loss of large amount of silicone oil occurred and it was re-moved completely in ECCE in 2 cases. After the follow- up periods of 3～30 months(mean,ten months),ten cases with the intact posterior capsule and silicone oil in place had a good view of the fun-dus,their retinae were attached and visual acuities were recovered above the best levels after retinal de-tachment surgery. Two cases with silicone oil removal suffered from retinal re-detachment.The main points of the surgery were discussed,and the effective methodof prevention from silicone oil escape and maintenance of the transparency of the posterior capsule after ECCE were proposed.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1995年第6期430-432,共3页
Chinese Journal of Ophthalmology
