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目的 :探讨先天性白内障术后视网膜脱离的特点、治疗效果及其影响因素。方法 :回顾分析 2 7例 2 7只眼先天性白内障术后视网膜脱离的临床资料。结果 :视网膜完全复位 2 0只眼 ,占 74 1% ;限局脱离 4只眼 ,占 14 8% ;完全脱离 3只眼 ,占 11 1%。术后视力 0 0 2以下者 8只眼 ,占 2 9 6% ;0 0 2～ 0 0 4者 6只眼 ,占 2 2 2 % ;0 0 5～ 0 0 9者 7只眼 ,占 2 5 9% ;0 1者 3只眼 ,占 11 1% ;0 2者 3只眼 ,占 11 1%。结论 :先天性白内障术后视网膜脱离经手术治疗可以取得较好的效果。增生性玻璃体视网膜病变 (PVR) ,尤其是前部增生性玻璃体视网膜病变 (aPVR)是影响手术预后的主要原因。
Objective: To investigate the characteristics, therapeutic effect and influencing factors of retinal detachment after congenital cataract surgery. Methods: A retrospective analysis of 27 cases of 27 eyes with congenital cataract surgery retinal detachment clinical data. Results: The retina was completely resected in 20 eyes, accounting for 74.1% of the total. Retinal detachment was seen in 4 eyes, accounting for 14.8%. Complete detachment was seen in 3 eyes, accounting for 11.1%. Postoperative visual acuity 0 0 2 the following 8 eyes, accounting for 296%; 0 0 2 ~ 0 0 4 6 eyes, accounting for 22.2%; 0 0 5 ~ 0 0 9 7 eyes, accounting for 2 5 9%; 0 1 3 eyes, 11 1%; 0 2 3 eyes, accounting for 11 1%. Conclusion: The surgical treatment of retinal detachment after congenital cataract surgery can achieve better results. Proliferative vitreoretinopathy (PVR), especially anterior proliferative vitreoretinopathy (aPVR), is a major cause of surgical prognosis.