摘要
目的 评估伴发白内障及人工晶状体的玻璃体视网膜手术的治疗效果及其影响因素。方法 玻璃体视网膜手术及硅油充填 92例 (94眼 )分为 3组 :保留晶状体前囊组 (第 1组 ) 2 9眼 ;未保留前囊组 (第 2组 ) 5 6眼 ;人工晶状体眼组 (第 3组 ) 9眼 ,术后随访 6月~ 1年 ,比较 3组的疗效及术后并发症。结果 3组视网膜完全复位率分别为 93 1% ,75 %及 88 9%。第 2组术后高眼压 ,硅油进入前房及角膜病变的并发症高于第 1组及第 3组 ,其中硅油进入前房的发生第 1组与第 2组相比差异有显著性 (χ2 =2 1.86 94,P <0 .0 1)。结论 保留晶状体前囊是治疗伴有白内障的复杂视网膜脱离的一种有效手段。伴有人工晶状体植入的玻璃体视网膜手术中可安全地应用硅油作为玻璃体腔的替代物。
To evaluate the therapeutic effect and influential factors of vitreoretinal surgery combined with cataract and intraocular lens.Methods 92 cases (94 eyes) operated with vitreoretinal surgery and silicone oil filling were divided into three groups:the group of preserving lens anterior capsule (the first group,29 eyes);the group of non preserving lens anterior capsule (the second group,56 eyes);the group of intraocular lens implantation (the third group,9 eyes).After the follow up periods of 6 m~1 yr,the effect and postoperative complications of three groups were compared.Results The complete retinal reattachment rate were 93.1%,75%,88.9% respectively in the three groups.The occurrence of hypertention,silicone oil in the anterior chamber and keratopathy in the second group was higher than that of first and third group,which was significant statistical difference between the the first group and the second group regarding the silicone oil in the anterior chamber (χ 2= 21.8694, P <0.01).Conclusion The vitreoretinal surgery with preservation of anterior lens capsular is an effective method for treating complicated retinal detachment combined with cataract.Silicone oil can be safely used as substitute for the vitreous body in the vitreoretinal surgery combined with intraocular lens implantation.
出处
《眼外伤职业眼病杂志》
北大核心
2000年第6期622-623,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries