黄斑裂孔性视网膜脱离合并白内障的手术治疗

Surgical Treatment of Retinal Detachment Caused by Macular Hole Combined with Cataract

目的:探讨玻璃体切割联合超声乳化人工晶体植入治疗黄斑裂孔性视网膜脱离合并白内障的临床效果。方法:收集2004年1月至2010年9月在我院治疗的黄斑裂孔性视网膜脱离合并白内障的患者32例32只眼。先经透明角膜切口行超声乳化手术,然后做标准三通道玻璃体切割术,术中彻底切除玻璃体并进行黄斑前膜剥除处理,然后行气液交换、眼内光凝和填充八氟丙烷(C3F8),最后植入折叠型人工晶体。结果:本组病人均随诊6个月,视网膜复位者29只眼(90.6%),随访视力较术前提高者26只眼(81.2%),最好矫正视力达0.4。结论:玻璃体切除联合超声乳化人工晶体植入是治疗黄斑裂孔性视网膜脱离合并白内障的有效方法。

Objective：To evaluate the clinical effect of combined surgery for the treatment of retinal detachment caused by macular hole with cataract.Methods：Thirty-two consecutive cases（32 eyes） of retinal detachment caused by macular hole with cataract were prospectively collected from January 2004 to September 2010.All the 32 eyes underwent a triple procedure phacoemulsification,pars plana vitrectomy,and foldable intraocular lens implantation.The procedure of pars plana vitrectomy included vitrectomy,epiretinal membrane peeling,air-fluid exchange,endophotocoagulation and C3F8 tamponade.Results：After six months＇ follow-up,the retinas were attached in 29 retinal detachments（90.6%）,the post-operative visual acuity of 26 eyes（81.2%） was improved,and the best corrected visual acuity was 0.4.Conclusion：It is an efficient approach to combine vitrectomy with phacoemulsification for the treatment of retinal detachment caused by macular hole with cataract.