摘要
目的 :探讨后房型人工晶状体眼视网膜脱离的临床特点及治疗方法。方法 :对我院 1996年至 1998年 3年间经常规视网膜脱离复位术及显微玻璃体视网膜联合术治疗的 12例 (12只眼 )后房型人工晶状体眼视网膜脱离的临床资料作回顾性分析。结果 :行常规视网膜脱离复位术 (巩膜外加压术、巩膜环扎术、巩膜环扎加外加压术 ) 7只眼 ;玻璃体切除、眼内填充联合巩膜环扎术 5只眼。随访半年至 3年 ,视网膜完全复位 10只眼 (均为一次手术复位 ,占 83 3% ) ,部分复位 1只眼 ,总复位率达 91 7%。术后视力提高 9只眼 ,不变 2只眼 ,下降 1只眼。 12只眼均未行人工晶状体取出。结论 :人工晶状体眼视网膜脱离具有发病早、发展迅速、眼内病变复杂、易致严重PVR、诊断及治疗难度加大等特点。一旦发现视网膜脱离 ,即根据不同的情况选择相应的手术方式、施行手术治疗 。
ST5”BZ]Objective:To approach the clinical characteristics and therapeutic methods for pseudophakie retinal detachment(RD) after posterior chamber intraocular lens(PCIOL) inplantation.Methods:Data of 12 patients with pseudophakic RD after PCIOL implantation treated with conventional retinal detachment surgery or combined with vitreo retinal surgery from 1996 to 1998 were reviewed retrospetively.Results:Of the 12 patients(12 eyes),7 patients were treated with conventional retinal detachment surgery,5 patients with micro vitreo retinal surgery.The retinas were completely reattached in 10 eyes(83 3%),partially reattached in 1 eye.The total reattachment rate was 91 7%.Conclusion:Pseudophakic RD after PCIOL implantation is more severe than general RD.If diagnosed early and treated early with proper surgery,better result can be obtained. [HT5”H][WT5”HZ][ST5”HZ]
出处
《眼科》
CAS
2001年第1期19-21,共3页
Ophthalmology in China
关键词
视网膜脱离
人工晶体
手术后
并发症
retinal detachment/surgery
lens,intraocular
postoperative complicationH
