摘要
目的:探讨伴有严重晶状体混浊的增生性糖尿病视网膜病变的玻璃体手术联合白内障吸除及人工晶状体植入的疗效及并发症。方法:需行玻璃体手术且伴有白内障的增生性糖尿病视网膜病变38例(41只眼),行超声乳化白内障吸除联合玻璃体切割、膜剥离、眼内激光、或长效气体填充、及人工晶状体植入。观察病人手术前后视力变化,裂隙灯下检查眼前段情况.眼底荧光造影检查病人视网膜情况及分析并发症。结果:平均随访9个月。术后36只眼视力提高,占87.8％。眼前节反应轻,并发症少。主要并发症有:高眼压1只眼,角膜水肿1只眼,虹膜红变1只眼,视网膜脱离1只眼。结论:玻璃体联合手术治疗并发白内障的增生性糖尿病视网膜病变是一种方便、安全、有效的手术。
Purpose: To evaluate the effecting and complications of the vitreous surgery combined with intraocular lens implantation in proliferative diabetic retinopathy. Methods:Forty-one eyes of 38 cases of proliferative diabetic retinopathy complicated with serious cataract were treated with phacoemulsification, pars plan vitctomy, peeling, photocoagulation, intraocular lens implantation and gas tampanade.Preoperative and postoperative visual acuity,anterior segment by slit lamp,fundus fluorescein angiography and surgery complications were analyzed.
Results: Average follow-up was 9 months.The visual acuity was improved in 36 eyes.The anterior response of operation was slight.The complications included cornea edema in 1 eye, high intraocular press in 1 eye, rubeosis in 1 eye and retinal detachment in 1 eye. Conclusions: The vitreous surgery combined with intraocular lens implantation was an effective operation for proliferative diabetic retinopathy with serious cataract,
出处
《眼科学报》
2004年第2期88-89,92,共3页
Eye Science
