晶状体后囊切开取出残留硅油珠的效果

The efficacy of removal of residual silicone oil droplet with posterior lens capsulotomy

目的评估硅油眼取硅油术后残留硅油珠患者行晶状体后囊切开取出硅油珠的效果。方法回顾性研究。连续性纳入2013年8月至2019年4月于福建省立医院就诊的12例硅油眼取硅油术后残留硅油珠患者。硅油术取出后行晶状体超声乳化人工晶状体植入术有10眼及二期晶状体植入术有2眼,术中切开后囊取出硅油珠。观察术中并发症及术后患者硅油珠残留率、最佳矫正视力、眼压、眼前段及眼底检查。结果术后随访1~69个月,患者视觉干扰症状及视力均有改善,末次随访视力0.3有5眼(41.7%),≥0.5有3眼(25.0%),无眼压升高、视网膜脱离或脉络膜脱离等并发症。人工晶状体位置稳定。结论晶状体后囊切开取残余硅油珠简便、安全、有效。

Objective To evaluate the safety and efficacy of removal of residual silicone oil droplet with posterior lens capsulotomy.Methods A retrospective study.Total 12 eyes of 12 consecutive patients with residual silicone oil droplet after silicone oil removal from Aug.2013 to Apr.2019 were collected in Fujian provincial hospital.There were 10 eyes received posterior lens capsulotomy combined with phacoemulsification,and 2 eyes received posterior lens capsulotomy combined with secondary intraocular lens implantation.The intra-operative complications,postoperative silicone oil droplet residual rate,best corrected visual acuity,intraocular pressure,anterior segment and fundus examination were observed.Results The patients were followed up for 1-69 months.Postoperative visual disturbance symptoms and the best corrected visual acuity were ameliorated in all patients.The visual acuity at the last follow up was 0.3 in 5 eyes(41.7%)and≥0.5 in 3 eyes(25.0%).No postoperative complication such as increased intraocular pressure,retinal detachment or choroidal detachment occurred.The intraocular lens position were stable during the follow-up period.Conclusion It is a simple,safe and effective way to remove silicone oil droplet with posterior lens capsulotomy.