后房型人工晶体植入术后视网膜脱离

Retinal detachment after extracapsular cataract extraction with posterior chamber intraocular lens

目的探讨后房型人工晶体植入术后视网膜脱离（ｒｅｔｉｎａｌｄｅｔａｃｈｍｅｎｔ，ＲＤ）的临床特点和治疗方法。方法回顾性分析巩膜扣带术与显微玻璃体视网膜手术结合注气及硅油填充治疗６８例６８只眼后房型人工晶体植入术后ＲＤ患者的临床资料。结果出院时视网膜复位者６５只眼，占９５．５９％，随防６～６０个月，视网膜保持平复者占９４．１２％；随访时视力在０．１以上者５４只眼，占７９．４１％，０．３及其以上者１８只眼，占２６．４７％。结论后房型人工晶体眼ＲＤ发生的主要原因与一般ＲＤ发生的原因相似；针对不同情况采取相应的手术方式。

Objective To approach the clinical characters and therapeutic methods of retinal detachment(RD)after extracapsular catarat extraction(ECCE)with posterior chamber intraocular lens(PCIOL). Methods Sixty eight cases(68 eyes)of RD after ECCE with PCIOL were treated with scleral buckling,microvitreo retinal surgery and intraocular gas,silicone oil injection and were reviewed. Results The retinas were totally reattached in 65 eyeys(95.59%)which dropped to 94.12% in 6～60 months postoperatively.The resultant rate of visual acuity of the eyes with 0.1 or better was 79.41%,with 0.3 or better was 26.47%. Conclusion The main causes of RD after ECCE with PCIOL are similar to those of general RD,and most cases of RD after ECCE with PCIOL can be cured by surgical treatment.