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本文回顾性分析了１１４例１２０眼无晶体眼视网膜脱离（ＡＲＤ）和人工晶体眼视网膜脱离（ＰＰＲＤ）。发现这两种视网膜脱离发病早，发展迅速，眼内病变复杂、严重，术前眼内检查困难，手术治疗效果不佳。严重的增殖性玻璃体视网膜病变（ＰＶＲ）和黄斑脱离被确认为独立影响其解剖和功能预后的最重要因素，而ＰＶＲ加重是手术失败的主要原因。成功地完成囊外摘除术或超声乳化术及囊袋内人工晶体植入术能减少ＡＲＤ和ＰＰＲＤ发生。在此基础上，对高危病人密切随访，在细致的术前检查后及早圆满地完成手术能改善预后。
This review retrospectively analyzed 114 cases of 120 eyes of aphakic retinal detachment (ARD) and intraocular lens retinal detachment (PPRD). Found that the incidence of these two retinal detachment early, the rapid development of intraocular lesions complicated and serious, preoperative intraocular examination difficult, poor surgical treatment. Severe proliferative vitreoretinopathy (PVR) and macular detachment have been identified as the most important factors that independently affect the prognosis of their anatomy and function, and increasing PVR is a major cause of surgical failure. Successful completion of extracapsular or phacoemulsification and capsular intraocular lens implantation can reduce the occurrence of ARD and PPRD. On this basis, close follow-up of high-risk patients and successful completion of surgery as soon as possible after meticulous preoperative examination can improve the prognosis.