后房型人工晶体植入术后视网膜脱离的治疗

目的 探讨后房型人工晶体植入术后视网膜脱离的治疗方法。方法 对4年来收治的后房型人工晶体植入术后发生视网膜脱离行玻璃体切除联合巩膜环扎和眼内填充手术治疗的20只眼做回顾性分析。结果 视网膜完全复位16只眼，部分复位2只眼，总复位率为90%。术后视力提高17只眼，占85%，不变2只眼，下降1只眼。行人工晶体取出6只眼，占30%。术后并发症5只眼，其中人工晶体偏斜2只眼，前房及玻璃体出血1只眼，硅油部分进入前房导致角膜局部变性2只眼。 结论 玻璃体切除联合巩膜环扎和眼内填充术，是治疗后房型人工晶体植入术后视网膜脱离的有效方法。(中华眼底病杂志,1998,14:165-166)

The treatment of retinal detachment after posterior chamber intraocular lens implantation

Objective To discuss the treatment of retinal detachment (RD) after posterior chamber intraocular lens(PCIOL) implantation. Methods Twenty eyes with RD after PCIOL implantation which were treated with vitrectomy combined with scleral buckling and intraocular tamponade from March 1993 to June 1997 in this institute were analysed retrospectively. Results The retinas reattached completely in 16 eyes and partly in 2 eyes after RD operation.The postoperative visual acuity improved in 17 eyes, not improved in 2 eyes,and decreasde in 1 eye.The PCIOL was taken off during RD operative in 6 eyes.Postoperative complications including displacement of the PCIOL in 2 eyes,silicone oil in anterior chamber in 2 eyes,hyphema and vitreous hemorrhage were found in this series of RD operation in 1 eye. Conclusion Vitrectomy combined with scleral buckling and intraocular tamponade is one of the effective methods to treat the eyes with RD with PCIOL.