上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (2): 147-.doi: 10.3969/j.issn.1674-8115.2012.02.005

• 论著（临床研究） • 上一篇    下一篇

白内障超声乳化人工晶状体植入联合硅油取出术临床疗效观察

朱弼珺, 刘海芸, 邹海东, 陈凤娥   

  1. 上海交通大学附属第一人民医院眼科, 上海 200080
  • 出版日期:2012-02-28 发布日期:2012-02-28
  • 通讯作者: 陈凤娥, 电子信箱: chenfenge@yahoo.cn。
  • 作者简介:朱弼珺（1974—）, 女, 副主任医师, 硕士；电子信箱: judyzhu52@yahoo.com.cn。
  • 基金资助:

    国家自然科学基金（30801269）；上海市自然科学基金（11ZR1428900）；上海市眼底病重点实验室开放课题基金（07Z22911）

Therapeutic effect of silicone oil removal combined with phacoemulsification and intraocular lens implantation

ZHU Bi-jun, LIU Hai-yun, ZOU Hai-dong, CHEN Feng-e   

  1. Department of Ophthalmology, the First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China
  • Online:2012-02-28 Published:2012-02-28
  • Supported by:

    National Natural Science Foundation of China, 30801269；Shanghai Natural Science Foundation, 11ZR1428900；Shanghai Key Laboratory for Ocular Fundus Diseases Foundation, 07Z22911

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摘要：

目的 探讨玻璃体切割术后硅油充填眼行白内障超声乳化人工晶状体植入联合硅油取出术的临床疗效。方法 2010年8月—2011年6月对35例(36眼)玻璃体切割术后硅油充填眼白内障患者行白内障超声乳化人工晶状体植入联合硅油取出术，观察患者术后1个月最佳矫正视力以及术后并发症发生情况。结果 术后1个月，3眼（8.33%）最佳矫正视力<0.01，5眼（13.89%）为0.01～0.04，10眼（27.78%）为0.05～0.09，15眼（41.67%）为0.1～0.25，3眼（8.33%）≥0.3。所有患者均无持续性角膜内皮失代偿、硅油泡残留、人工晶状体移位和玻璃体出血等并发症发生。结论 玻璃体切割术后硅油充填眼行白内障超声乳化人工晶状体植入联合硅油取出术安全、有效。

关键词: 白内障, 超声乳化, 人工晶状体, 硅油取出, 玻璃体切除手术

Abstract:

Objective To investigate the therapeutic effect of silicone oil removal combined with phacoemulsification and intraocular lens implantation in eyes with silicone oil tamponade after vitrectomy. Methods Thirty-five patients (36 eyes) with cataract and silicone oil tamponade after vitrectomy underwent silicone oil removal combined with phacoemulsification and intraocular lens implantation between August 2010 and June 2011, the best corrected visual acuity one month after operation was observed, and the incidences of postoperative complications were recorded. Results One month after operation, the best corrected visual acuity was <0.01 in 3 eyes (8.33%), 0.01-0.04 in 5 eyes (13.89%), 0.05-0.09 in 10 eyes (27.78%), 0.1-0.25 in 15 eyes (41.67%) and ≥0.3 in 3 eyes (8.33%). There was no incidence of complications such as persisting corneal endothelial decompensation, residual silicone oil, lens dislocation and vitreous hemorrhage after operation in all patients. Conclusion Silicone oil removal combined with phacoemulsification and intraocular lens implantation is a safe and effective approach for eyes with silicone oil tamponade after vitrectomy.

Key words: cataract, phacoemulsification, intraocular lens, silicone oil removal, vitrectomy