摘要
目的评估白内障合并玻璃体病变的联合手术治疗效果。方法对２０只眼白内障合并玻璃体混浊或炎症或异物病变，采用经平坦部保留晶体前囊晶体玻璃体切除手术治疗。术中１６只眼一期植入睫状沟部位人工晶体。结果经１２～３６个月随访，２０只眼中１８只眼视力得到提高，其中０．３～０．５者７只眼，０．５以上者１１只眼，最高者为１．２。１９只眼前囊保持透明，１只眼术后６个月发生混浊。结论该术式保留晶体前囊利于植入人工晶体，手术对眼前段组织损伤轻，术后晶体囊混浊发生率低，是治疗白内障合并玻璃体病变的一种较理想的手术。
Objective To investigate the therapeutic effect of combined operation on cataract complicated with vitreous pathology. Method 19 patients (20 eyes) with coexisting cataract and vitreous opacification or endophthalmitis or intraocular foreign bodies were operated with pars plana lensectomyvitrectomy preserving lens anterior capsule. The ciliary sulcus intraocular lenses (IOLs) were primarily implanted for sixteen eyes of 19 cases in the operation. Results All cases were followed up for 12～36 months. Visual acuities of 18 cases were improved, 7 eyes between 0.3～0.5, 11 eyes beyond 0.5, the best one at 1.2. Anterior capsule opacification occurred merely in one eye, and in others the capsule kept being transparent. Conclusion Preserving anterior lens capsule in the operation is beneficial to the insertion of IOL, and the anterior segment is affected slightly, thus it is a promising method for treating cataract complicated with vitreous opacification.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1997年第6期444-446,共3页
Chinese Journal of Ophthalmology
