首页|玻璃体切除术后并发白内障患者接受超声乳化手术的疗效观察

玻璃体切除术后并发白内障患者接受超声乳化手术的疗效观察

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目的 评估玻璃体切除术(简称玻切术)后并发白内障患者接受超声乳化手术的治疗效果,并深入分析手术操作技巧.方法 回顾性分析2020年2月—2021年2月本院收治的57例玻切术后并发白内障患者为研究对象,患者均采用超声乳化白内障摘除+人工晶体植入手术,观察治疗后患者的视力情况和并发症情况,分析治疗效果.结果 57例中除2例因自身眼底病术后视力得不到提高外,其余55例术后视力均得到了不同程度的提高.2例因眼底功能萎缩放弃植入人工晶状体,1例二期植入人工晶状体,其余均一期植入人工晶状体,完成超声乳化手术.术后并发症情况:角膜水肿28例,治疗1周角膜透明;前房内渗出2例,均为糖尿病患者,治疗2周后渗出吸收.结论 玻切术后并发性白内障的超声乳化手术难度大,并发症多,但术前准确测量,充分沟通,术中调整灌注压,谨慎仔细操作,术后患者仍可获得满意的视力.
Curative Effect Observation of Phacoemulsification Surgery for Concurrent Cataracts After Vitrectomy
Objective To observe the effect of phacoemulsification surgery for concurrent cataracts after vitrectomy and explore the surgical techniques.Methods The paper reviewed and analyzed the effect and complications of phacoemulsification surgery for 57 cases of concurrent cataracts after vitrectomy from February 2020 to February 2021.Results Among the 57 cases,except for 2 cases without increase of postoperative visual acuity for fundus disease,the remaining 55 cases showed varying degrees of improvement in postoperative visual acuity.Two cases were treated with no implantation of artificial intraocular lenses due to atrophy of fundus function,one case with secondary implantation of artificial intraocular lenses,and the rest with primary implantation of artificial intraocular lenses for phacoemulsification surgery.The main postoperative complications were corneal edema of 28 cases,one week after treatment,cornea became transparent.There were 2 cases of exudation in anterior chamber,all of them were diabetes patients.2 weeks after treatment,the exudation was absorbed.Conclusion Phacoemulsification is difficult for complicated cataract after vitrectomy,which has many complications.Accurate preoperative measurement,full communication,intraoperative adjustment of perfusion pressure,careful operation,can achieve satisfactory postoperative vision of patients.

CataractVitreous resectionUltrasonic emulsification surgery

杨顺玲、刘晓敏、赵秀云、刘晓培、李景珂、WANG Yanling

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河北省邯郸市眼科医院(邯郸市第三医院),河北 邯郸 056001

Handan City Ophthalmology Hospital (Handan City the Third Hospital) Handan,Hebei 056001

白内障 玻璃体切除术 超声乳化手术

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)