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目的探讨一期玻璃体切除术治疗人工晶体眼视网膜脱离的临床疗效。方法对54例(54眼)人工晶体眼(ECCE+IOL45眼,PHACO+IOL9眼)视网膜脱离,均放弃单纯巩膜外扣带术,直接采用一期玻璃体切除术。其中,12眼(22.22%)行硅油填充,其余42眼均行C3F8内填充,术中同时取出人工晶体者14眼(25.93%)。术后随访6~18个月。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2眼(3.70%),未复位1眼(1.85%),后者系严重aPVR所致,术后视力均有不同程度的提高。结论对人工晶体眼视网膜脱离行一期玻璃体切除术,术中具有良好的手术野,可发现术前未检出的周边部隐匿性视网膜新裂孔,彻底解除玻璃体视网膜牵引,同时可去除混浊的屈光间质,从而减少PVR的形成,提高患眼的视功能,临床上值得推广。
Objective To investigate the clinical efficacy of a vitrectomy for the treatment of intraocular lens detachment. Methods Retinal detachment was performed in 54 eyes (54 eyes) of intraocular lens (ECCE + IOL45 eyes, PHACO + IOL9 eyes), all of which were surgically removed by single-stage vitrectomy. Among them, 12 eyes (22.22%) were filled with silicone oil, and the remaining 42 eyes were filled with C3F8. Intraocular lens (IOL) was removed simultaneously in 14 eyes (25.93%). Follow-up 6 to 18 months after operation. Results In the first stage of vitrectomy, 17 eyes (31.48%) were newly opened, 48 eyes (88.89%) were partially restored to the retina, 2 eyes (3.70%) partially reoperated, and 1 eye (1.85% aPVR caused by postoperative visual acuity improved in varying degrees. Conclusion Intraocular lens retinal detachment underwent a vitrectomy, intraoperative has a good surgical field, can be found in preoperative non-detected peripheral occult retinal neovascularization, complete lifting of the vitreoretinal traction, and can remove turbid flexion Light quality, thereby reducing the formation of PVR, improve the visual function of eyes, it is clinically worth promoting.