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、眼内填充联合巩膜环扎术 5只眼。随访半年至 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 ,即根据不同的情况选择相应的手术方式、施行手术治疗 ,仍可取得较好疗效 Objective: To investigate the clinical features and treatment of posterior chamber intraocular lens (IOL) retinal detachment. Methods: The clinical data of 12 cases (12 eyes) with posterior chamber intraocular lens (IOL) retinal detachment treated by routine retinal detachment and vitrectomy combined with vitrectomy were retrospectively analyzed in our hospital from 1996 to 1998. Results: Seven eyes underwent routine retinal detachment (scleral buckling, scleral cerclage and scleral cerclage plus external compression); vitrectomy and intraocular filling combined with scleral cerclage in 5 eyes. All the patients were followed up for 6 months to 3 years. Retinal retina was completely resected in 10 eyes (all of them were operated by one operation, accounting for 83.3%). Partial reduction of one eye resulted in a total reduction rate of 91.7%. Postoperative visual acuity improved 9 eyes, unchanged 2 eyes, down 1 eye. All 12 eyes were removed intraocular lens. Conclusion: Intraocular lens retinal detachment has the characteristics of early onset, rapid development, complicated intraocular lesions, severe PVR, difficulty of diagnosis and treatment. Once found retinal detachment, that is, according to different circumstances, select the appropriate surgical approach, the implementation of surgical treatment, can still get better curative effect