CAJ | 학술논문

目的观察小切口白内障囊外摘除人工晶体植入联合玻璃体视网膜手术治疗白内障合并玻璃体视网膜疾病的临床疗效.方法回顾分析小切口白内障囊外摘除人工晶体植入联合玻璃体视网膜手术18例18眼,观察术后视力恢复及并发症等情况.结果术后随访3～18个月(平均8个月),矫正视力＜0.02者2眼,0.02～0.1者4眼,0.2～0.3者8眼,＞0.3者4眼.术后主要并发症为眼前节葡萄膜反应、角膜反应、高眼压、玻璃体再出血、视网膜脱离.结论小切口白内障囊外摘除人工晶体植入联合玻璃体视网膜手术治疗白内障合并玻璃体视网膜疾病是安全、有效的方法,影响视力恢复的主要原因为跟后节病变.
목적 관찰소절구백내장낭외적제인공정체식입연합파리체시망막수술치료백내장합병파리체시망막질병적림상료효.방법 회고분석소절구백내장낭외적제인공정체식입연합파리체시망막수술18례18안,관찰술후시력회복급병발증등정황.결과 술후수방3～18개월(평균8개월),교정시력＜0.02자2안,0.02～0.1자4안,0.2～0.3자8안,＞0.3자4안.술후주요병발증위안전절포도막반응、각막반응、고안압、파리체재출혈、시망막탈리.결론 소절구백내장낭외적제인공정체식입연합파리체시망막수술치료백내장합병파리체시망막질병시안전、유효적방법,영향시력회복적주요원인위근후절병변.
Objective To observe the clinical effect of extracapsular cataract extraction and implantation of intraocular lens combined with vitreoretinal surgery by samall incisionto to treat cataract merge vitreoretinal disease.Methods A retrospective study was managed on 18 cases(18eyes). Eyesight and complications after operation was study. Result Follow-up period was from 3 months to 18 months( the 8 months on average). The cases of corrected visual acuity less than 0. 02 was 2 eyes, among 0.02 to 0. 1 was 4 eyes, among 0. 2 to 0.3 was 8 eyes, then more than 0.3 was 4 eyes. The complications of surgery included tunicae uveae reaction, cornea reaction, ocular hypertension, vitreous hemorrhage,retinal detachment. Conclusion Extracapsular cataract extraction and implantation of intraocular lens combined with vitreoretinal surgery by small incision was safe and effective to treat Cataract combined with vitrcoretinal disease. The main factor affected the eyesight retrieval was posterior segment pathology.