摘要
目的探讨白内障术后视网膜脱离的病因,临床特点及手术方法。方法回顾性分析10例(10眼)白内障术后发生视网膜脱离病例。结果平均发病时间为白内障术后28月,其中6例发生在白内障术后1年内;8例有中高度近视史,其中6例为高度近视。视网膜脱离分级PVR B至C3级。9例采用巩膜环扎术,1例结合玻璃体切除术,术后平均随访11.8月,均解剖性复位,视力恢复较理想。结论白内障摘出术中应尽量保持晶状体后囊的完整并避免后发障等术后并发症的发生。对于术前有高度近视史、外伤史,术中发生后囊破裂,术后行后囊截开者,散瞳随访眼底有助于预防和及时诊治视网膜脱离。
Objective To investigate the pathogeny, clinical characteristic and surgical treatment of retinal detachment after cataract surgery. Methods 10 cases （10 eyes） of pseudophakic and aphakic retinal detachment were analysed retrospectively. Results The mean time of attack was 28 months after cataract surgery, 6 cases occurred within one year after cataract surgery;8 cases had the history of myopia, among them 6 cases were high myopia ; the calssification of PVR was from B to C3, scleral buckle was performed in 9 cases, combined scleral buckle and pars pana vetrectomy in 1 case,the mean follow-up was 11.8 months, reattachment of the retina and improved visual acuity achieved in all cases. Conclusion The intra-and post-surgical complications including rupture of the posterior capsule and after cataract should be avoided. To the cases which have the history of high myopia and trauma,or experience the posterior capsular rupture, or undergo Nd：YAG laser eopsulotomy, fundus examination under the pupil dilation after eatareat surgery is helpful to prevent and treat retinal detachment timely.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第5期363-365,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
