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目的探讨玻璃体视网膜病变合并白内障的玻璃体手术中,同期行超声乳化白内障吸出术的效果及并发症。方法回顾性分析合并有白内障的玻璃体视网膜病变30例(30眼)。实行玻璃体切除联合超声乳化吸出人工晶状体植入术观察术后视力改善情况及术中术后并发症。结果术后随访3～24个月,25眼(83.33%)术后均有不同程度视力改善,视力不变者3眼,视力下降者2眼。影响视力提高的主要原因为不同类型的黄斑病变。并发症主要有角膜水肿、一过性高眼压、术后炎症反应、后囊浑浊,均可治愈。结论超声乳化白内障吸出玻璃体切除联合术治疗合并不同程度白内障的玻璃体视网膜病变是安全有效的方法,它有利于患者视力改善,避免玻璃体切除术后并发白内障再次手术。玻璃体切除联合白内障手术不会明显增加手术并发症。
Objective To investigate the effect and complications of phacoemulsification during vitreous surgery with vitreo-retinopathy and cataract. Methods Retrospective analysis of 30 cases (30 eyes) of vitreoretinopathy with cataract. Vitrectomy combined with phacoemulsification and intraocular lens implantation were performed to observe the postoperative visual acuity improvement and intraoperative and postoperative complications. Results All the patients were followed up for 3-24 months, and 25 eyes (83.33%) had different degrees of visual acuity improvement after operation. There were 3 eyes with unchanged eyesight and 2 eyes with decreased eyesight. The main reason for affecting visual acuity is different types of macular degeneration. Complications are mainly corneal edema, transient high intraocular pressure, postoperative inflammatory response, posterior capsule turbid, can be cured. Conclusion Combined phacoemulsification and vitrectomy for the treatment of vitreoretinopathy with different degrees of cataract is a safe and effective method. It is helpful to improve visual acuity and avoid reoperation of cataract after vitrectomy. Vitrectomy combined with cataract surgery does not significantly increase the surgical complications.