CAJ | 학술논문

回顾性分析30例(30只眼)均系玻璃体切除术后白内障的患者，经结膜无缝合23G玻璃体切除术(23GTSV)灌注系统的支持下行小切口非超声乳化白内障摘除术和白内障超声乳化术，观察视力预后、术中及术后并发症。1例患者在行超声乳化时，术中发现后囊膜破裂改行小切口手术。3例患者术后低眼压，其中1例发现是脉络膜脱离所致，另外2例考虑有切口的渗漏，经处理后恢复正常。4例硬核和3例合并糖尿病视网膜病变的患者术后出现角膜水肿和前房闪辉。所有患者没有出现巩膜塌陷、晶体核沉入玻璃体腔、脉络膜上腔出血等严重的并发症。28例患者术后视力得到改善。
회고성분석30례(30지안)균계파리체절제술후백내장적환자，경결막무봉합23G파리체절제술(23GTSV)관주계통적지지하행소절구비초성유화백내장적제술화백내장초성유화술，관찰시력예후、술중급술후병발증。1례환자재행초성유화시，술중발현후낭막파렬개행소절구수술。3례환자술후저안압，기중1례발현시맥락막탈리소치，령외2례고필유절구적삼루，경처리후회복정상。4례경핵화3례합병당뇨병시망막병변적환자술후출현각막수종화전방섬휘。소유환자몰유출현공막탑함、정체핵침입파리체강、맥락막상강출혈등엄중적병발증。28례환자술후시력득도개선。
A retrospective study included 30 cataract cases (30 eyes) with history of vitrectomy. Phacoemulsifica-tion or small incision non-phacoemulsification was performed with vitreous irrigation of 23G TSV. Observe the visual acuities, intraoperative and postoperative complications. Posterior capsule rupture intraoperatively occurred in one patient with phacoemulsification. Three patients suffered intraocular hypotension postoperatively, including one with choroidal detachment, and the other two probably with leakage from incisions. However,the intraocular pressure rised to normal after treatment. Corneal edema and aqueous flare postoperatively occurred in four patients with hard nucleus cataract and three patients with diabetic retinopathy. There were no serious complications occurred in all patients, such as sclera collapse, nucleus sinking into vitreous chamber and bleeding in epichoroidal space. The visual acuities were improved after operation in twenty-eight patients.