摘要
目的 评价特发性黄斑裂孔玻璃体切割术后并发性白内障的超声乳化人工晶状体植入术的临床疗效。方法回顾性分析 4 5例 4 5眼特发性黄斑裂孔玻璃体切割术后并发性白内障患者采用白内障超声乳化人工晶状体植入术 :2 5例 2 5眼行巩膜隧道切口超声乳化术 ,2 0例 2 0眼行透明角膜切口超声乳化术 ,观察术中、术后并发症及患眼视力、黄斑变化情况。结果 术后 3月 ,所有患眼视力均有不同程度的提高 ,最佳矫正视力 0 .0 1～ 0 .1者 6眼 ,0 .2～ 0 .3者 18眼 ,0 .4～ 1.0者 2 1眼 ,术后早期并发症为角膜水肿 3眼 ,黄斑区视网膜水肿 3眼 ,术后远期并发症为后发性白内障 11眼 ,需Nd :YAG激光治疗 ,黄斑裂孔重新裂开 2眼。结论 对于特发性黄斑裂孔玻璃体切割术后并发性白内障 ,超声乳化人工晶状体植入术操作安全、临床效果好、术后并发症轻微 。
Objective To evaluate the clinical effect of p hacoemulsification and lens implantation after pars plana vitrectomy for idiopat hic macular holes.Methods We performed a retrospective analysis of phacoemulsific ation and lens implantation after pars plana vitrectomy for idiopathic macular h oles on 45 consecutive eyes:25 eyes by scleral tunnel incision and others by co rneal incision. Intraoperative and postoperative complications as well as visual acuity were observed. Results In postoperative three months,the best corrected visual acuity in all cases had improved in different degrees. 0.01～0.1 were found in 6 eyes,0. 2～0.3 in 18 eyes,0.4～1.0 in 21 eyes.Early postoperative complications includ ed corneal edema in 3 eyes and macular edema in 3 eyes.Late postoperative comp lications included secondary cataract in 11 eyes,which needed to be treated by N d: YAG laser,Reopening of macular hole in 2 eyes. Conclusion As for cataract after par plana vitrectomy for idiop athic macular holes,phacoemulsification and lens implantation is a secure,eff ective,fewer postoperative complications method.
出处
《眼科新进展》
CAS
2004年第6期487-488,共2页
Recent Advances in Ophthalmology
