硅油取出联合白内障超声乳化术的临床探讨

Transpupillary silicone oil removal combined with phacoemulsification： results and complications

目的 评估通过透明角膜切口完成白内障超声乳化及折叠式人工晶体植入联合经瞳孔前路硅油取出改良术的安全性及有效性。方法 对57例硅油充填眼完成白内障超声乳化后经瞳孔前路硅油取出联合折叠式人工晶体植入。结果 术后未发生明显角膜并发症,89.4%的病人（51例）未发生视网膜再脱离,复发性视网膜脱离6例（11.6%）,再次手术后成功复位。41例患者的术后视力改善。结论 白内障超声乳化及折叠式人工晶体植入联合硅油奴出改良术安全有效,可以最大限度地减少手术损伤。

Objective To evaluate phacoemulsification combined with transpupillary and foldable intraocular lens （IOL） implantation through a single corneal incision. Methods 57 patients for intraocular silicone oil removal and cataract extraction underwent combined phacoemulsification and transpupillary drainage of silicone oil through a planned posterior cap sulorrhexis with a pars plana infusion line. Results The retina remained attached in51 （89.4%） patients postoperatively. In this success group, the postoperative visual acuity improved in 41 （80.4%） patients, the incidence of redetachment following silicone oil removal is 6 （11. 6%） patients. Conclusion Combined phacoemulsification and transpupillary drainage of silicone oil is a safe and reliable technique that offers the main advantage of diminished surgical trauma.