玻璃体腔充满气体的情况下人工晶状体植入术的体会

Intraocular lens implantation in the condition of vitreous cavity filled with gas

目的: 探讨在玻璃体切割术中玻璃体腔充满气体的情况下人工晶状体植入的临床意义和技巧。方法: 回顾性分析了在玻璃体切割术中玻璃体腔充满气体的情况下植入人工晶状体的36例36眼患者的临床资料;术后随访3～12(平均5.6)mo。结果: 所有患者术后视力与术前最佳矫正视力相比均提高2～6行。无严重并发症发生。结论: 在非接触全视野镜下玻璃体腔充满气体、无人工晶状体的情况下能较容易地看清周边视网膜并进行光凝治疗,在玻璃体腔充满气体的情况下人工晶状体植入术简捷、无不必要的重复操作、手术无太大难度、安全有效。

·AIM： To evaluate the clinical significance and technique of intraocular lens implantation in the condition of vitreous cavity filled with gas.· METHODS： Clinical data of 36 patients （36 eyes） who received intraocular lens implantation in the condition of vitreous cavity filled with gas was retrospectively studied. The postoperative follow-up period was for 3-12 months, averaged in 5.6 months. ·RESULTS： Postoperative visual activity improved 2-6 lines compared with preoperative best corrected visual activity in all eyes. No severe complication occurred.· CONCLUSION： Assisted with noncontact panoramic viewing systems, it is easier to observe peripheral retinal clearly for photocoagulation in aphakia with gas filled vitreous cavity. Intraocular lens implantation in the condition of vitreous cavity filled with gas is easier, without unnecessary duplication operation. The surgery is safe and effective without too much difficulty.