玻璃体切除术治疗人工晶状体眼视网膜脱离

目的 探讨玻璃体切除术治疗人工晶状体眼视网膜脱离（ｔｒｔｉｎａｌ ｄｅｔａｃｈｍｅｎｔ,ＲＤ）的效果。方法 对３２例（３２只眼）植入人工晶状体后ＲＤ患眼行玻璃体除术,其中首次治疗采用玻璃体切除术１１只眼（３４．４％）,巩膜扣带术失败后再行玻璃体切除术２１只眼（６５．６％）,玻璃体切除术中联合硅油充填１０只眼（３１．３％）,玻璃体切除术同时行人工晶状体取出１２只眼（３７．５％）。术后随诊６个月至５年

Vitrectomy for pseudophakic retinal detachment

Objective To study the method of vitrectomy for treatment of pseudophakic retinal detachment. Methods 32 pseudophakic retinal detachment eyes were treated with vitrectomy, primary vitrectomy in 11 eyes (344%), vitrectomy after conventional buckling failure in 21 eyes (656%), combind with silicone oil 10 eyes (313%), removal of introculor lens 12 eyes (375%) All eyes had passed the 6 months to 5 years of followup examination Results Intraoperative new retinal breaks were identified in 7 eyes(219%) The retinal total reattachment was in 25 eyes (781%); part reattachment was in 4 eyes (125%), and their visual acuity was improved than that before the operation.Due to severe proliferative vitreoretinopathy(PVR),failure occurred in 3 eyes Conclusions The main advantage of vitrectomy is the better intraoperative sight to the peripheral retinal breaks , removal of retinal traction and the low rate of PVR after vitrectomy Vitrectomy for complicated type of pseudophakic retinal detachment can improve the success rate of the retinal detachment surgery and the visual acuity outcome.