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目的 :探讨白内障超乳化摘除 ,睫状体平坦部玻璃体切割及人工晶体囊袋内植入联合手术的疗效及安全性。方法 :对玻璃体视网膜病变合并白内障 18例 (18眼 )施行该联合手术。其中糖尿病性视网膜病变 ,玻璃体出血伴白内障 10例 ;视网膜分枝静脉阻塞 ,玻璃体出血伴白内障 4例 ;视网膜静脉周围炎 ,玻璃体出血伴白内障 3例及特发性视网膜前膜 1例 ,术后随访 2～ 13个月(平均 9月 )。结果 :术后视力均有不同程度提高。 12眼 (67% )术后最佳矫正视力为 0 .2 5～ 0 .8;3眼 (17% )为 0 .1～ 0 .2 ,(其余 3眼≤ 0 .0 5 )。主要并发症为术中 1例医源性视网膜裂孔。所有人工晶体均耐受良好。结论 :该联合手术对于经过选择的玻璃体视网膜病变合并白内障安全、有效 ,能使患者快速恢复视功能
Objective: To investigate the efficacy and safety of phacoemulsification with cataract extraction, vitrectomy of flat ciliary body and intraocular lens implantation. METHODS: Eighteen patients (18 eyes) with vitreo-retinopathy with cataract underwent combined surgery. Including diabetic retinopathy, vitreous hemorrhage with cataract in 10 cases; retinal branch vein occlusion, vitreous hemorrhage with cataract in 4 cases; retinal vein inflammation, vitreous hemorrhage with cataract in 3 cases and idiopathic anterior membrane in 1 case, followed up 2 to 13 months (average September). Results: Postoperative visual acuity improved to varying degrees. The best corrected visual acuity was 12.5 ~ 0.8 in 12 eyes (67%) and 0.1 ~ 0.2 (3 eyes ≤0.0.5) in 3 eyes (17%). The main complication was intraoperative iatrogenic retinal tears. All artificial crystals are well tolerated. CONCLUSION: This combined procedure is safe and effective for selected vitreoretinopathy with cataract, enabling rapid recovery of visual function in patients