重视无玻璃体眼白内障摘除手术的复杂性

Pay attention to the complexity of cataract surgery of no vitreous eyes

随着玻璃体切除手术的广泛开展，无玻璃体眼白内障摘除手术患者明显增多。由于此类白内障摘除手术患者临床表现个体差异大，同时临床缺乏大样本随机对照临床研究结论作参考，因此对不同患者的诊疗策略选择主要依赖于术者的个人经验。在临床工作中应充分认清此类患者的个体化特征及其共性问题，慎重选择白内障摘除手术的时机，术前进行全面的检查及评估，完整设计白内障摘除手术的方案并合理选择IOL。对无玻璃体白内障摘除手术的复杂性必须给予高度重视。

With wide-spread performance of pars plana vitrectomy, cataract surgeries with no vitreous are getting more and more. This kind of surgery has great difference between individuals and it lacks randomized large sample clinical trial. Surgical strategy decision was basically relied on the surgeon＇s personal experience. We should fully aware the individual and common characteristics of no vitreous cataract surgery. Surgical time should be carefully decided. Complete ocular examination, evaluation, design of cataract surgical procedure and appropriate intra-ocular lens selection are needed. We must pay highly attention on the cataract surgery of no vitreous eves.