无晶状体眼的硅油取出与人工晶状体植入

Combined surgery of silicone oil removal and intraocular lens implantation in aphakic eyes following vitrectomy

目的探讨玻璃体视网膜手术后无晶状体硅油填充眼的硅油取出联合人工晶状体植入的手术方法与临床效果。方法对无晶状体硅油填充眼行硅油取出联合人工晶状体植入的41例(41眼)进行回顾性研究,其中21眼行前房人工晶状体植入,20眼行后房人工晶状体植入缝线固定术,分别对术前术后的视力和并发症进行比较。结果前房人工晶状体植入术后视力与术前矫正视力基本相同,而缝线固定的后房人工晶状体术后视力稍低于术前矫正视力(P<0.05)。结论无晶状体硅油填充眼硅油取出与人工晶状体植入联合手术临床效果可靠。

Objective To evaluate the combined surgical methods and clinical effect of silicone oil removal and intraocular lens implantation in aphakic eyes following vitrectomy. Methods 41 eyes （41 cases） were evaluated retrospectively. Silicone oil removal and AC IOL implantation were performed in 21 eyes , and 20 eyes accepted silicone oil re2 moral and PC IOL implantation. The vision result and complications had been evaluated. Results The postoperative vision were close to preoperative corrected vision in AC IOL implantation group, and the postoperative vision decreased in PC IOL implantation group （ P 〈 0.05 ）. Conclusion The combined surgery of silicone oil removal and intraocular lens implantation in aphakic eyes is effective, and silicone oil removal and AC IOL implantation is more convenient and have a better clinical effect.