小切口白内障囊外摘除联合玻璃体切除术的临床观察
发布时间：2018-10-13 11:03
【摘要】：目的：探讨伴有白内障的玻璃体视网膜疾病患者行小切口白内障囊外摘除联合玻璃体切除及人工晶体植入术的临床疗效。 方法：回顾分析伴有白内障的玻璃体视网膜疾病患者49例（51眼）进行小切口白内障囊外摘除联合玻璃体切除术，，21眼同时行Ⅰ期人工晶体植入术，观察术后视力改善程度、术中术后并发症及处理的情况。 结果：术后51眼中视力提高30眼（58.82%），术中Ⅰ期植入人工晶体的21眼中，视力提高14眼（66.67%）。术中主要并发症包括角膜上皮水肿1眼（1.96%）；医源性裂孔2眼（3.92%）；眼底出血1眼（1.96%）；后囊膜破裂1眼（1.96%）。术后主要并发症包括角膜水肿24眼（47.06%），前房闪辉18眼（35.29%），瞳孔区渗出膜4眼（7.84%），瞳孔区虹膜后粘连4眼（7.84%），一过性眼压升高7眼（13.73%），前房积血5眼（9.80%），继发性青光眼3眼（5.88%）等。 结论：小切口白内障囊外摘除、玻璃体切除联合人工晶体植入术治疗伴有白内障的玻璃体视网膜疾病是安全有效的，影响术后视力改善的主要因素为眼底视网膜病变和眼外伤的严重程度，手术成功的关键是选择合适的病例和手术医生娴熟的技术。
[Abstract]:Objective: to investigate the clinical effect of small incision extracapsular cataract extraction combined with vitrectomy and intraocular lens implantation in patients with vitreoretinal diseases with cataract. Methods: 49 cases (51 eyes) of vitreoretinal diseases with cataract were treated with extracapsular cataract extraction and vitrectomy through small incision. Complications during and after operation and management. Results: the visual acuity was improved in 30 eyes (58.82%) in 51 eyes and 14 eyes (66.67%) in 21 eyes with intraocular lens implantation. The main complications included corneal epithelial edema in 1 eye (1.96%), iatrogenic hole in 2 eyes (3.92%), fundus hemorrhage in 1 eye (1.96%) and posterior capsule rupture in 1 eye (1.96%). The main postoperative complications included corneal edema in 24 eyes (47.06%), anterior atrial flash glow in 18 eyes (35.29%), pupillary effusion in 4 eyes (7.84%), posterior synechia in 4 eyes (7.84%), transient intraocular hypertension in 7 eyes (13.73%), hyphema in 5 eyes (9.80%), secondary glaucoma in 3 eyes (5.88%). Conclusion: small incision extracapsular cataract extraction vitrectomy combined with intraocular lens implantation is safe and effective in the treatment of vitreoretinal diseases with cataract. The main factors affecting the improvement of visual acuity after operation were the severity of retinopathy and ocular trauma. The key to success of the operation was the selection of appropriate cases and the skillful technique of the surgeon.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.6
本文编号：2268381
[Abstract]:Objective: to investigate the clinical effect of small incision extracapsular cataract extraction combined with vitrectomy and intraocular lens implantation in patients with vitreoretinal diseases with cataract. Methods: 49 cases (51 eyes) of vitreoretinal diseases with cataract were treated with extracapsular cataract extraction and vitrectomy through small incision. Complications during and after operation and management. Results: the visual acuity was improved in 30 eyes (58.82%) in 51 eyes and 14 eyes (66.67%) in 21 eyes with intraocular lens implantation. The main complications included corneal epithelial edema in 1 eye (1.96%), iatrogenic hole in 2 eyes (3.92%), fundus hemorrhage in 1 eye (1.96%) and posterior capsule rupture in 1 eye (1.96%). The main postoperative complications included corneal edema in 24 eyes (47.06%), anterior atrial flash glow in 18 eyes (35.29%), pupillary effusion in 4 eyes (7.84%), posterior synechia in 4 eyes (7.84%), transient intraocular hypertension in 7 eyes (13.73%), hyphema in 5 eyes (9.80%), secondary glaucoma in 3 eyes (5.88%). Conclusion: small incision extracapsular cataract extraction vitrectomy combined with intraocular lens implantation is safe and effective in the treatment of vitreoretinal diseases with cataract. The main factors affecting the improvement of visual acuity after operation were the severity of retinopathy and ocular trauma. The key to success of the operation was the selection of appropriate cases and the skillful technique of the surgeon.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.6
【参考文献】
相关期刊论文 前2条
1 赵亚军;钟景贤;;复杂性视网膜脱离联合手术53例临床观察[J];国际眼科杂志;2007年06期
2 李仲群;陈佳佳;黄振平;吴网兰;;联合手术治疗增殖性糖尿病视网膜病变合并白内障的效果评价[J];国际眼科杂志;2008年02期
本文编号：2268381
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