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目的探讨一期玻璃体切除术治疗人工晶状体眼视网膜脱离(retinaldetachment,RD)的临床疗效。设计回顾性、非对照研究。研究对象54例(54眼)人工晶状体眼(ECCE+IOL45眼,PHACO+IOL9眼)RD患者。方法均采用一期玻璃体切除术。其中12眼行硅油填充,其余42眼行C3F8填充,术中同时取出人工晶状体者14眼。术后随访6～18个月。主要指标视网膜复位情况、视力。结果一期玻璃体切除术中发现新裂孔17眼(31.48%),视网膜最终完全复位48眼(88.89%),部分复位4眼(7.41%),未复位2眼(3.70%),后者系严重PVR所致,术后视力均有不同程度的提高。结论对人工晶状体眼RD行一期玻璃体切除术,可提高患眼视功能,手术安全有效。
Objective To investigate the clinical effect of primary vitrectomy for intraocular lens retinal detachment (RD). Design retrospective, uncontrolled study. Participants 54 patients (54 eyes) with intraocular lens (ECCE + IOL45 eyes, PHACO + IOL9 eyes) RD patients. Methods A one-stage vitrectomy was used. Among them, 12 eyes were filled with silicone oil and the remaining 42 eyes were filled with C3F8. Intraocular lens was removed simultaneously in 14 eyes. Follow-up 6 to 18 months after operation. The main indicators of retinal reattachment, visual acuity. Results In the first stage of vitrectomy, 17 eyes (31.48%) were newly opened, 48 eyes (88.89%) were partially restored to the retina, 4 eyes (7.41%) partially reoperated, and 2 eyes (3.70% PVR caused by postoperative visual acuity improved in varying degrees. Conclusion Intraocular lens (RD) underwent one-stage vitrectomy, which can improve the visual function and make the operation safe and effective.