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目的报告后房型人工晶体缝线固定术后视网膜脱离的临床特征。方法观察后房型人工晶体缝线固定术后视网膜脱离14例14[的患者背景、术中所见及术后观察。结果患者术后视网膜脱离发生在20～204日(平均96.5日),初次手术6[施行了巩膜环扎术,8[玻璃体手术。经玻璃体手术者视网膜全部解剖复位,3[巩膜外手术复位失败,后经玻璃体手术视网膜复位。视网膜脱离发生的原因是睫状沟缝合时医源性裂孔3[,前部玻璃体牵拉性网膜裂孔11[。术后视力提高的5[,不变者6[,3[视力下降。结论后房型人工晶体缝线固定术后前部玻璃体的牵拉是视网膜脱离的主要原因,玻璃体手术是有效的。另外,由于血—[屏障的破坏易发生前部增生性玻璃体病变,早期的玻璃体手术是重要的。
Objective To report the clinical features of retinal detachment after posterior chamber intraocular lens suture fixation. Methods 14 cases of retinal detachment after posterior chamber intraocular lens suture fixation were observed. [Background, intraoperative findings and postoperative observation]. Results The postoperative retinal detachment occurred in 20 to 204 days (mean 96.5 days). The first operation was performed on 6 cases [with scleral cerclage, 8 [vitrectomy. The vitreous surgery all retinal anatomical reduction, 3 [scleral surgery failed to reset, after vitrectomy retinal reattachment. Retinal detachment occurs because of ciliary sulcus iatrogenic hiatus 3 [, the front of the vitreoretinal tear 11 [. Postoperative visual acuity improved 5 [, unchanged 6 [, 3 [decreased vision]. Conclusion The anterior vitreous traction after posterior chamber intraocular lens suture fixation is the main reason of retinal detachment. Vitreous surgery is effective. In addition, early vitreous surgery is important because of blood- [damage to the barrier prone to anterior proliferative vitreous lesions.