视网膜色素变性合并白内障患者人工晶状体植入术

Intraocular lens implantation of patients with cataract complicated retinitis pigmentosa

目的 探讨白内障人工晶状体植入术对视网膜色素变性合并白内障患者治疗的手术技巧及效果。方法 对15例 18眼视网膜色素变性合并白内障患者作囊外摘出联合后房型人工晶状体植入或超声乳化吸出晶状体并植入软性人工晶状体。对手术前后视力及并发症进行观察 ,并追踪观察视功能改变。结果 术后 16眼视力较术前提高 ,视野部分有所改善 ,ERG无明显改变。结论 白内障人工晶状体植入术对大部分视网膜色素变性并发白内障患者的视力提高有帮助 ,是一种较为安全有效的治疗方法。

Objective To assess the surgical protocal potency and visual acuity after treatment of patients with cataract complicated retinitis pigmentosa.Methods The prospective study comprised 18 eyes of 15 patients schedulled for external capsule cataract extraction and implanting posterior intraocular lens or phacoemulsification and implanting foldable intraocular lens. The visual acuity before and after operations and the surgical complications were analysed, also the visual acuity and field were followed up to find out if they were improved.Results The visual acuity of 16 eyes was increased respectively after operation. The visual field was improved partly and ERG did not change greatly.Conclusion Intraocular lens implantation can help to improve the visual acuity of most patients with cataract complicated retinitis pigmentosa and is an effective and safe treatment method.