后房型人工晶状体眼视网膜脱离临床分析

目的：探讨后房型人工晶状体眼视网膜脱离的临床特点及治疗方法。方法：对我院1996年至1998年3年间经常规视网膜脱离复位术及显微玻璃体视网膜联合术治疗的12例（12只眼）后房型人工晶状体眼视网膜脱离的临床资料作回顾性分析。结果：行常规视网膜脱离复位术（巩膜外加压术、巩膜环扎术、巩膜环扎加外加压术）7只眼；玻璃体切除、眼内真充联合巩膜环扎术5只眼。随肪半年至3年，视网膜完全复位10只眼（均为一次手术复位，占83.3%），部分复位1只眼，总复位率达91.7%。术后视力提高9只眼，不变2只眼，下降1只眼。12只眼均未行人工晶状体取出。结论：人工晶状体眼视网膜脱离具有发病早、发展迅速、眼内病变复杂、易致严重PVR、诊断及治疗难度加大等特点。一旦发现视网膜脱离，即根据不同的情况转择相应的手术方式、施行手术治疗，仍可取得较好疗效。

Clinical analysis of pseudophakic retinal detachment after implantation of posterior chamber intraocular lens

Objective：To approach the clinical characteristics andtherapeutic methods for pseudophakie retinal detachment（RD）after posterior chamber intraocular lens（PCIOL） inplantation．Methods：Data of 12 patients with pseudophakic RD after PCIOL implantation treated with conventional retinal detachment surgery or combined with vitreo-retinal surgery from 1996 to 1998 were reviewed retrospetively．Results：Of the 12 patients（12 eyes），7 patients were treated with conventional retinal detachment surgery，5 patients with micro vitreo-retinal surgery．The retinas were completely reattached in 10 eyes（83.3％），partially reattached in 1 eye．The total reattachment rate was 91.7％．Conclusion：Pseudophakic RD after PCIOL implantation is more severe than general RD．If diagnosed early and treated early with proper surgery，better result can be obtained．