白内障超声乳化术后并发视网膜脱离的治疗

Retinal detachment after their phacoemulsifications

目的探讨采取不同手术方式治疗白内障术后并发视网膜脱离的效果及预后。方法回顾性分析32例(32只眼)白内障超声乳化术后患者的临床资料,其中23只眼行玻璃体切除术,9例行巩膜外加压加冷凝术。23例行玻璃体切除术术眼,其中6例取出了植入的人工晶状体。术后随访3～24个月,观察手术前后患者视网膜复位率及视力。结果行巩膜外加压术的9例视网膜复位率为88.9﹪(8/9),未复位眼后改行玻璃体切除术,视网膜复位。行玻璃体切除术的23例视网膜复位率为95.7﹪(22/23),未复位眼为脉络膜脱离,保守治疗,术后1周视网膜成功复位。术后视力提高者28例,不变者4例。结论白内障术后并发视网膜脱离的手术治疗应根据视网膜裂孔的部位及视网膜脱离的情况,采取巩膜外加压术或玻璃体切除术治疗。

Objective To discuss the therapeutic effect and prognostic of different surgery patterns for patients who suffering retinal detachment after their phacoemulsifications in several yems. Methold Records of 32 eyes of 32 patients who who suffering retinal detachment after their phacoemulsifications were reviewed. 23 eyes of the 32 eyes were underweat vitrctomy ,the other 9 eyes underwent outside the sclerotic pressurizes. Among the 23 eyes suffering vltretomy,6 eyes were taken their IOL off. Follow-up visit these patients after their surgery in 3 to 24 months and observe the retinal reset sate and functional improvement in vision. Result The reattachment rate of the 9 eyes is 88.9 % and the retinal rate of the 23 eyes is 95.7 % .28 patients improved their eyesight after the surgeries and 4 patlents,eyesight were the same with before. Conclusion Surgical treatment should be eonsidevecl according to the location of retinal breaks and the extent of detachment.