摘要
目的 评价特发性黄斑裂孔玻璃体切除术后并发性白内障的超声乳化人工晶体植入术的临床疗效。方法 回顾性分析对 3 2例 ( 3 2眼 )特发性黄斑裂孔玻璃体切除术后并发性白内障患者采用白内障超声乳化人工晶体植入术 :2 1例 ( 2 1眼 )行巩膜隧道切口超声乳化术 ,11例 ( 11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 术后三月 ,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共 4眼 ,0 1～ 0 3共 11眼 ,0 3～ 1 0共17眼 ,术后早期并发症为角膜水肿 2眼 ,术后远期并发症为后发性白内障 6眼 ,需Nd :YAG激光治疗 ,黄斑裂孔重新裂开 1眼。结论 对于特发性黄斑裂孔玻璃体切除术后并发性白内障 ,超声乳化人工晶体植入术操作安全、临床效果好、术后并发症轻微 ,是目前最为理想的治疗方法。
Objective To evaluate the clinical effective of phacoemulsification and lens implantation after pars plana vitrectomy for Idiopathic Macular Holes.Methods We performed a retrospective analysis of phacoemulsification and lens implantation after pars plana vitrectomy for Idiopathic Macular Holes on 32 consecutive eyes:21 eyes by scleral tunnel incision and others by corneal 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 4 eyes,0 1～0 3 in 11 eyes,0 3～1 0 in 17 eyes.Early Postoperative complications included corneal edema.Late Postoperative complications included secondary cataract in 6 eyes,which needed to treat by Nd:YAG laser,Reopening of macular hole in 1 eye.Conclusions As for cataract after par plana vitrectomy for Idiopathic Macular Holes,Phacoemulsification and lens implantation is an secure,effective,fewer postoperative complications method.
出处
《中国实用眼科杂志》
CSCD
北大核心
2004年第4期299-300,共2页
Chinese Journal of Practical Ophthalmology
