巩膜环扎术后白内障摘除人工晶状体植入术

目的探讨视网膜脱离行巩膜环扎术后白内障摘除联合人工晶状体植入术的效果和并发症。方法对30例（30只眼）视网膜脱离行巩膜环扎术后的白内障进行白内障囊外摘除或超声乳化吸除联合人工晶状体植入术,观察术后最佳矫正视力及并发症。结果巩膜环扎术至白内障手术的平均时间间隔为（41.7±6.99）个月。白内障术后平均随防（17.07±2.53）个月,30只眼中20只眼（66.67％）的最佳矫正视力≥0.5,仅1只眼于术后3个月复发视网膜脱离。结论视网膜脱离行巩膜环扎术后,再施行白内障囊外摘除或超声乳化吸除联合人工晶状体植入术是安全的,大多数眼可获得较好的视力效果,很少引起视网膜脱离复发。     

巩膜扣带术后的白内障超声乳化人工晶状体植入术

目的探讨原发性视网膜脱离巩膜扣带术后超声乳化白内障吸除人工晶状体植入术的疗效和并发症。方法回顾性地观察了1998-01/2003-06原发性视网膜脱离巩膜扣带术后患者22例(23眼)行超声乳化白内障吸除人工晶状体植入术。记录手术前、后的最佳矫正视力,术中、术后的并发症。结果23眼术后最佳矫正视力≥0.1者18眼(75%),视力≥0.3者9眼(39%),随访期间(6～40mo)内未发现视网膜再脱离,平均随访时间16.5mo。1眼出现后发性白内障,行激光晶状体后囊膜切开术。结论原发性视网膜脱离巩膜扣带术后行超声乳化白内障吸除人工晶状体植入术,可获得良好的手术效果,是一种较理想和安全的手术方法。     

白内障超声乳化吸除人工晶状体植人联合巩膜扣带术治疗孔源性视网膜脱离疗效观察

目的评价自内障超声乳化吸除与巩膜扣带联合手术视网膜复位后即刻植入人工晶状体治疗白内障合并孔源性视网膜脱离的疗效和可行性。方法对13例（13只眼）白内障合并视网膜脱离的病例,采用超声乳化白内障吸除联合间接眼底镜直视下巩膜外冷凝裂孔联合巩膜扣带术,并根据情况进行环扎、放液,术后3d内即刻植入人工晶状体。结果全部13只眼均一次性成功去除白内障,其中12只眼脱离的视网膜复位后植入人工晶状体视力短期内提高,并发症少。结论自内障超声乳化吸除与巩膜扣带联合术后即刻植入人工晶状体是治疗自内障合并孔源性视网膜脱离的理想手术方法。     

视网膜脱离巩膜外垫压术后白内障超声乳化人工晶状体植入术的疗效

目的 评价视网膜脱离巩膜外垫压术后施行白内障超声乳化和人工晶状体植入术的术中、术后并发症和最佳矫正视力结果。方法 回顾性观察1997年11月～2002年11月施行视网膜巩膜垫压术后施行白内障超声乳化和人工晶状体植入术的患者。记录术前、术后的最佳矫正视力，术中、术后并发症。并对其临床特点进行分析和讨论。结果 48例49眼。从视网膜脱离手术到超声乳化手术之间的时间为6月～43年，平均13．5年；超声乳化手术平均随访24．6个月。术后最佳矫正视力≥0．1者43眼(87．76％)，≥1．0者25眼(51．02％)。6眼矫正视力低于0．1的患者中，5眼黄斑区有增殖条索改变，1眼存在视网膜前膜。3眼发生后发性白内障行激光晶状体后囊膜切开术。随访期内未发现视网膜再脱离者。结论 视网膜脱离巩膜外垫压术后行白内障超声乳化联合人工晶状体植入术，可使大部分患者恢复较好的视功能，手术并发症少，无视网膜脱离再复发，具有较高安全性。     

高度近视白内障超声乳化人工晶状体植入术27例

目的:探讨高度近视眼合并白内障行超声乳化白内障吸除人工晶状体植入术治疗的临床疗效。方法:27例(37眼)因白内障合并高度近视行超声乳化白内障吸除+人工晶状体植入术。记录术前眼轴长度和术后视力,屈光度数,观察手术并发症术后眼部情况。术后随访时间为6～24mo。结果:术前平均眼轴长度为28.3mm。术后最佳矫正视力≥0.2共35眼(95%),≥0.5者共33眼(89%)。术中无后囊膜破裂;术后角膜水肿2眼,术后一过性高眼压1眼,后发性白内障2眼;术后发现黄斑变性和眼底出血共4例,无视网膜和脉络膜脱离者。结论:超声乳化白内障吸除低度数折叠式人工晶状体植入术是治疗白内障合并高度近视眼安全、有效的方法。     

超声乳化白内障吸除人工晶状体植入术的临床观察

目的 观察超声乳化白内障吸除人工晶状体植入术的临床疗效及并发症。方法 对36例(39只眼)白内障患者，分别选择巩膜隧道切口及透明角膜切口，行超声乳化白内障吸除术，同时植入后房型PMMA人工晶状体。结果 术后1周、1个月和3个月裸眼或矫正视力≥0．5者分别为84．62％、87．08％、89．74％。结论 超声乳化白内障吸除人工晶状体植入术，疗效满意，安全、快捷。伴高度近视患者术中并发症发生率较高。     

低度数或负度数折叠式人工晶状体植入术治疗白内障合并高度近视的临床观察

目的观察白内障摘除联合低度数或负度数丙烯酸酯(Acrysof)折叠式人工晶状体植入术治疗白内障合并高度近视的临床疗效.方法对40例(56只眼)白内障合并高度近视患者行超声乳化白内障吸除低度数或负度数Acrysof折叠式人工晶状体植入术,观察术中和术后并发症、术后视力和屈光度数.术后随访时间≥3个月.结果术中无并发症发生.术后3个月最佳矫正视力＜0.1者2只眼,0.1～0.4者12只眼,0.5～0.9者36只眼,1.0～1.5者6只眼;4只眼(7.2%)晶状体后囊膜混浊,1只眼(1.8%)发生晶状体囊袋阻滞综合征,无视网膜脱离者.结论超声乳化白内障吸除低度数或负度数Acrysof折叠式人工晶状体植入术,是治疗白内障合并高度近视患者安全、有效的手术方法.     

负度数人工晶状体植入术治疗白内障合并超高度近视眼

目的　探讨超声乳化白内障吸除负度数人工晶状体植入术治疗白内障合并超高度近视眼的临床疗效。方法　对因白内障合并超高度近视眼行超声乳化白内障吸除负度数人工晶状体植入术的89例(126只眼)患者进行回顾性研究,记录术前眼轴长度和术后视力、屈光度数及其与预期屈光度数的偏差值(屈光度数偏差值),观察手术并发症和术后眼部情况。术后随访时间为6～25个月。结果　术前平均眼轴长度为32 45mm。术后最佳矫正视力≥0 2共106只眼(84 1%),≥0 5者共69只眼(54 8%)。术后屈光度数偏差值<±1 00D共71只眼(56 3%),<±2 00D共114只眼(90 5%)。术中仅1只眼晶状体后囊膜破裂;术后28只眼出现双眼干扰症状;后发性白内障15只眼,6只眼行激光晶状体后囊膜切开术;无视网膜和脉络膜脱离者,无眼压升高者。结论　超声乳化白内障吸除负度数人工晶状体植入术是治疗白内障合并超高度近视眼安全、有效的方法。     

糖尿病患者白内障超声乳化吸除人工晶状体植入术的疗效观察

目的探讨糖尿病患者白内障超声乳化吸除人工晶状体植入术的临床疗效。方法对29例（35只眼）糖尿病白内障患者行白内障行超声乳化吸除人工晶状体植入术，对术前准备、手术技巧、并发症进行总结分析，术后随访3～12个月，平均6个月。结果术后复查时视力：0．2—0．4者5只眼，0．5～0．8者21只眼，≥1．0者9只眼；术后并发症：早期Tyndall征（＋＋）5只眼，前房纤维素性渗出2只眼，人工晶状体表面色素沉着3只眼，角膜线样混浊6只眼，晚期后发障4只眼。结论糖尿病患者白内障超声乳化吸除联合人工晶状体植入术，具有视力恢复好，术后反应小等效果。     

糖尿病患者白内障超声乳化吸除联合后房型人工晶状体植入术疗效分析

目的　研究糖尿病患者白内障超声乳化吸除联合后房型人工晶状体植入术的疗效及并发症。方法　对 2 0 0 1年 3月～ 2 0 0 2年 8月期间明确诊断为糖尿病的白内障患者 80例 ( 83只眼 )行超声乳化吸除联合后房型人工晶状体植入术。术前空腹血糖均控制在 8mmol/ L 以下 ,术后随访观察视力、前房反应、角膜情况。结果　 80例 ( 83只眼 )糖尿病患者白内障术后视力均有不同程度的提高 ,其中 9只眼视力 <0 .1者多数为糖尿病性视网膜病变者。术后主要并发症角膜水肿、房水混浊、前房纤维素膜样渗出及前房积血均在一周左右消退 ,对术后视力无影响。结论　糖尿病患者白内障术前空腹血糖控制良好的情况下行超声乳化吸除联合后房型人工晶状体植入术能获得较满意的疗效 ,是安全可靠的     

Phacoemulsification and lens implantation after scleral buckling surgery

PURPOSE:To determine the intraoperative and postoperative complications and best-corrected visual acuity outcomes of eyes undergoing phacoemulsification and intraocular lens implantation after retinal detachment repair by the scleral buckling technique. METHODS:The charts of all patients who underwent phacoemulsification and intraocular lens implantation between July 1991 and May 1998 in two surgical practices were reviewed to identify eyes with a history of retinal detachment repaired by the scleral buckling technique. Eyes with a history of pars plana vitrectomy were excluded. Demographic and surgical data, preoperative and postoperative best-corrected visual acuity, and intraoperative and postoperative complications were recorded.RESULTS:We identified 34 eyes of 32 patients. The mean interval from retinal detachment repair to phacoemulsification was 12.4 years. The mean interval from phacoemulsification to final examination was 20 months. Risk factors for retinal detachment included isolated myopia (82%), myopia with lattice retinal degeneration (5.9%), and myopia with trauma (8.8%). One eye (2.9%) had no identifiable risk factors. Final best-corrected visual acuity of 20/40 or better was attained in 29 (85%) of 34 eyes and 20/20 or better in 18 (53%) of the eyes. Of the five eyes with the lowest best-corrected visual acuity, three had a macula-off retinal detachment; one had a posterior capsule opacity, epiretinal membrane, and corneal edema secondary to ocular ischemia; and one had advanced glaucoma. All five eyes still experienced an improvement in best-corrected visual acuity. With regard to complications, one eye had a posterior capsular tear with vitreous loss and another developed a postoperative retinal tear. Posterior capsule opacification requiring laser capsulotomy developed in 13 eyes (38%). No eye developed a retinal redetachment. CONCLUSION:Phacoemulsification and intraocular lens implantation can be performed safely after scleral buckling surgery and excellent best-corrected visual acuity results can be attained in most eyes. No modification of surgical technique is necessary. No retinal redetachment occurred in this series.     

Anatomic and visual results in asymptomatic clinical rhegmatogenous retinal detachment repaired by scleral buckling

PURPOSE: To report presenting characteristics as well as anatomic and visual results in asymptomatic clinical rhegmatogenous retinal detachment repaired by scleral buckling. METHODS: Review of 28 eyes of 27 patients with an asymptomatic clinical retinal detachment-defined as a rhegmatogenous retinal detachment with subretinal fluid extending more than 2 disk diameters posterior to the equator-which were repaired by scleral buckling from January 1989 through December 1996 with follow-up of 6 months or longer. RESULTS: With a single scleral buckling procedure, anatomic reattachment of the retina occurred in all eyes; one eye redetached 14 months after the initial surgery secondary to a new retinal break and was successfully reattached. All eyes had best-corrected presenting and final visual acuity of 20/50 or better. Final best-corrected Snellen visual acuity was within 1 line of best-corrected presenting visual acuity in 82% of eyes; three eyes improved more than 1 line of Snellen visual acuity and two eyes lost more than 1 line. CONCLUSION: Anatomic and visual results in asymptomatic clinical rhegmatogenous retinal detachment after scleral buckling surgery are excellent. Strong consideration should be given to repair of these detachments.     

球形孔源性视网膜脱离的手术探讨

目的：探讨球形孔源性视网膜脱离的手术方法选择与手术预后,方法：回顾性分析1999年在我院手术的球形视网膜脱离患者161例161眼资料。最终手术采用环扎加压不放液53眼,环扎加压放液75眼,玻璃体手术33眼,平均随访3个月。结果：出院时手术复位159眼,复位率98．8％,随访期间复发2眼,最终手术成功157眼,成功率97．5％,术后视力有明显提高,结论：球形孔源性视网膜脱离由于其发病急,就诊快,只要手术方法选择适当,大部分还是可以取得成功,对于膜形成严重,裂孔多,大,靠后,或再手术病例,采用玻璃体手术,其术后解剖复位率和视功能恢复还是相当满意的。     

无玻璃体眼经巩膜睫状沟后房型人工晶状体固定术

目的 探讨玻璃体切割术后无玻璃体眼经巩膜睫状沟后房型人工晶状体固定手术方法并评价其疗效。方法 对8例(8眼)玻璃体切割术后无玻璃体眼行经巩膜睫状沟后房型人工晶状体固定术(PC-IOL)。术后随访3～56个月。结果 术后裸眼视力均较术前提高，术后最佳矫正视力均达到或接近术前最佳矫正视力，其中≥0．5者1眼，≥1．O者3眼。术中低眼压2眼、眼球塌陷1眼，术后前房积血3眼，玻璃体积血3眼，人工晶状体脱位1眼，一过性高眼压3眼，黄斑囊样水肿3眼，视网膜脱离1眼。结论 经巩膜睫状沟PC-IOL固定术是无玻璃体并伴有眼前段结构紊乱眼恢复视力的补救手术。术中注意稳定眼压，可减少或避免术中、术后并发症。     

显微镜下三联手术治疗合并白内障的孔源性视网膜脱离的效果

目的：:分析显微镜下白内障超声乳化吸除、人工晶状体植入和巩膜外加压三联手术治疗合并白内障的孔源性视网膜脱离（RRD）的疗效。方法：:回顾性研究。选择2010年1月至2017年12月在常熟市第二人民医院眼科住院的合并白内障的RRD患者17例（17眼）。患者均在显微镜下行白内障超声乳化吸除、人工晶状体植入和巩膜外加压三联手...     

前房维持器在合并外伤性白内障的眼内异物伤玻璃体手术中的应用

目的评价前房维持器灌注在对选择的病例行外伤性白内障摘出联合眼内异物摘出的玻璃体手术中的应用效果。方法36例（36眼）眼球穿孔伤合并白内障及眼内异物,排除术前已诊断合并视网膜脱离、外伤性眼内炎者。白内障摘出术中在前房维持器液体灌注下行白内障皮质清除,然后继续应用前房维持器行眼内液体灌注,联合20G玻璃体手术摘出眼后段异物,人工晶状体植入。术中始终应用前房维持器行眼内液体灌注。结果36例眼内异物均成功摘出。术后视力提高者36例,其中视力达0．1以上者34例（94％）。无大泡性角膜病变发生。1例视网膜脱离,经巩膜扣带术视网膜复位。结论经前房维持器灌注可代替经巩膜切口灌注应用于外伤性白内障摘出联合眼内异物摘出的玻璃体手术中,提供了另一种眼内液体灌注方式,可减少并发症。     

Clear lens phacoemulsification for correction of high myopia.

PURPOSE: To assess phacoemulsification and posterior chamber intraocular lens (IOL) implantation as an effective, safe, and predictable technique for the correction of high myopia. SETTING: University Eye Clinic of Verona, Verona, Italy. METHODS: A series of 25 eyes with myopia higher than -12.0 diopters (D) had clear lens extraction by phacoemulsification and IOL implantation in the capsular bag. The mean postoperative follow-up was 42.92 months +/- 3.76 (SD). RESULTS: No serious intraoperative complications occurred. Uncorrected visual acuity improved in all cases. The mean postoperative best corrected visual acuity improved by an average of 1 line. One case (4.0%) of postoperative retinal detachment (RD) occurred at 12 months. One case (4.0%) of biometric error (3.0 D) occurred. CONCLUSION: Clear lens extraction by phacoemulsification and IOL implantation in a series of highly myopic eyes was effective and had an acceptable predictability and a low rate of complications. Careful evaluation of the retinal periphery by indirect ophthalmoscopy is recommended to avoid postoperative RD.