CAJ | 학술논문

目的探讨超声乳化、人工晶状体植入联合巩膜扣带术治疗白内障合并视网膜脱离效果.方法对上海交通大学附属第一人民医院眼科就诊的12例(12只眼)白内障合并视网膜脱离患者实施晶状体超声乳化吸除、人工晶状体植入及巩膜扣带手术,观察术后视网膜复位、最佳矫正视力(BCVA)和并发症情况.结果视网膜复位11只眼(11/12,即91.7％),术后最佳矫正视力提高10只眼(10/12,即83.3％),最佳矫正视力不变1只眼(1/12,即8.3％),最佳矫正视力下降1只眼(1/12,即8.3％).主要的术后并发症角膜水肿3只眼(3/12,即25.0％),中度的纤维蛋白渗出3只眼(3/12,即25.0％),一过性眼内压力升高2只眼(2/12,即16.6％),后囊膜混浊2只眼(2/12,即16.6％),复发性视网膜脱离1只眼(1/12,即8.3％).结论超声乳化、人工晶状体植入联合巩膜扣带术治疗白内障合并视网膜脱离是安全有效的.
목적 탐토초성유화、인공정상체식입연합공막구대술치료백내장합병시망막탈리효과.방법 대상해교통대학부속제일인민의원안과취진적12례(12지안)백내장합병시망막탈리환자실시정상체초성유화흡제、인공정상체식입급공막구대수술,관찰술후시망막복위、최가교정시력(BCVA)화병발증정황.결과 시망막복위11지안(11/12,즉91.7％),술후최가교정시력제고10지안(10/12,즉83.3％),최가교정시력불변1지안(1/12,즉8.3％),최가교정시력하강1지안(1/12,즉8.3％).주요적술후병발증각막수종3지안(3/12,즉25.0％),중도적섬유단백삼출3지안(3/12,즉25.0％),일과성안내압력승고2지안(2/12,즉16.6％),후낭막혼탁2지안(2/12,즉16.6％),복발성시망막탈리1지안(1/12,즉8.3％).결론 초성유화、인공정상체식입연합공막구대술치료백내장합병시망막탈리시안전유효적.
Objective To investigate the effect of combined phacoemulsification,intraocular lens implantation and scleral buckling surgery for eyes with coexisting cataract and retinal detachment.Methods A case series of 12 consecutive patients (12 eyes) underwent combined phacoemulsification,intraocular lens implantation and scleral buckling surgery.The main outcome measures were postoperative retinal reattachment,best corrected visual acuity (BCVA),and complications.Results Overall retinal reattachment occurred in 11 eyes (11/12,as 91.7％).Postoperative BCVA improved in 10 eyes (10/ 12,as 83.3％),unchanged in 1 eye (1/12,as 8.3％),and worsened in 1 eye (1/12,as 8.3％).The major postoperative complications were Corneal edema in 3 eyes (3/12,as 25％),moderate fibrin exudation 3 eyes (3/12,as 25％),transient increased intraocular pressure in 2 eyes (2/12,as 16.6％),posterior capsule opacification in 2 eyes (2/12,as 16.6％),and recurrent retinal detachment in 1 eye (1/12,as 8.3％).Conclusions Combined phacoemulsification,intraocular lens implantation and scleral buckling surgery for eyes with coexisting cataract and retinal detachment are safe and effective.