微创玻璃体切割联合白内障超声乳化术治疗增生性糖尿病视网膜病变的临床疗效

目的探讨微创玻璃体切割联合白内障超声乳化术治疗增生性糖尿病视网膜病变（PDR）的临床疗效。方法回顾性分析PDR患者16例（16只眼）均行微创玻璃体切割联合白内障超声乳化术，术中行全视网膜光凝。其中3只眼行硅油填充，6只眼行气体（C3F8）填充，术后3—6个月行硅油取出术，术后随访6个月。结果16只眼随访12个月，视网膜复位良好，12只眼矫正视力显著提高，4只眼因视神经萎缩视力无提高，3只眼后囊增生明显。结论微创玻璃体切割联合白内障超声乳化术是治疗PDR有效的方法，具有良好的临床前景。

The clinical observation of micro-invasion vitrectomy combined with phacoemuisification for proliferative diabeticretinopathy.

Objective To observe the effect of micro-invasion vitrectomy combined with phacoemulsification for proliferative diabetic retinopathy. Methods Total of 16 patients （16 eyes） who suffered from proliferative diabetic retinopathy was treated. All eyes accepted micro-invasion vitrectomy combined with phacoemulsification and panretinal photoeoagulation. Silicone oil was utilized in 3 eyes and c3f8 in 6 eyes. The silicone extraction was done from 3 months to 6months after treatment. The follow-up time was 12 months. Result All 16 eyes got a complete retina reattachment. The best corrected visual acuity was improved in 12 eyes after surgery, and not improved in 4 eyes for optic atrophy. Severe pacification of posterior capsule occurred in 3eyes. Conclusions micro-invasion vitreetomy combined with phacoemulsification is an effective therapy for proliferative diabetic retinopathy.