硅油填充眼手法小切口与超声乳化白内障手术的并发症（英文）

Complication of manual small incision cataract surgery and phacoemulsification in previously vitrectomized eyes with silicone oil tamponade

目的:比较超声乳化联合硅油取出术与硅油填充眼手法小切口白内障手术(MSICS)的安全性。方法:回顾性对比研究。162例患者162眼接受白内障手术,超声乳化联合硅油取出术与硅油填充眼手法小切口白内障手术均行玻璃体切除。结果:超声乳化白内障手术组术后低眼压21眼(18.91%)MSICS组术后低眼压8眼(15.68%),两组间无明显统计学差异(P=0.666)。术后1mo两组间视网膜复位率无明显统计学意义;超声乳化白内障手术组8例患者(7.2%)复发,硅油填充眼手法小切口白内障手术组9例(17.64%)复发,两组复发率比较,差异无统计学意义(P=0.055)。结论:硅油填充眼手法小切口白内障手术相较于超声乳化联合硅取出术在低眼压、渗漏、脉络膜脱离、视网膜复位率方面结果无劣效性。

AIM： To compare the safety between phacoemulsification and manual small incision cataract surgery（MSICS）combined with silicone oil removal in previously vitrectomized eyes. METHODS：A retrospective comparative no-inferiority study to 162 patients（162 eyes）who undergone cataract surgery, either phacoemulsification or MSICS combined with silicone oil removal which had pars plana vitrectomy.RESULTS：There were no statistically significant different in hypotony between phacoemulsification group（21 patients; 18.91%）and MSICS group（8 patients; 15.68%）（P=0.666）. There was also no statistically significant different between two group in 1mo retinal reattachment rate; 8 patients（7.2%）in phacoemulsification group had redetachment compared with 9 patients（17.64%）in MSICS combined with silicone oil removal group（P=0.055）.CONCLUSION：MSICS combined with silicone oil removal has non-inferiority result to phacoemulsification combined with silicone oil removal in hypotony, leakage, choroidal detachment and retinal reattachment rate.