摘要
目的 评价晶状体超声乳化玻璃体切割及后房型人工晶状体植入术的临床疗效。方法 对16例患者行晶状体超声乳化玻璃体切割及后房型人工晶状体植入术。结果 3~10个月随访中,所有患者术后视力都有不同程度提高,视力05以上者6例(375%),02~04者7例(4375%),01以下者3例(1875%)。结论 玻璃体切割术中行晶状体超声乳化术联合后房型人工晶状体植入术,能够获得良好视力而无严重并发症,是治疗白内障合并眼后段病变一种较理想的手术。
ObjectiveTo investigate the therapeutic effect on the patients undergone phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with pars plana vitrectomy (PPV).MethodsCombined operation of phacoemulsification and PPV were performed in 26 cases(16 eyes) with cataract complicated by vitreoretinopathy.Primary indications for PPV included 8 cases of vitreous opacification,5 cases of retinal detachment,2 cases of intraocular foreign body,1 case of macular hole,1 case of proliferative diabetic retinopathy.ResultsVisual acuity was improved in all cases.The follow up period was 3~10 months.6 cases(37 5%) obtained visual acuities 0 5 or better,7 cases(43 75%) had visual acuities between 0 3~ 0 4 ,3 cases(18 75%)worse than 0 1.Postoperative complications included corneal edema in 3 cases,posterior capsular opacification in 2 cases,and recurrence of vitreous hemorrhage in 1 case.ConclusionPhacoemulsification combined with IOL implantation can be performed during PPV.The patients obtain improvement in visual acuity in the absence of servere complication,thus it is a promising method for treating cataract in eyes with posterior segment pathology.
出处
《眼科研究》
CSCD
2000年第1期63-65,共3页
Chinese Ophthalmic Research