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目的观察玻璃体切割术联合硅油充填治疗人工晶状体眼合并漏斗状视网膜脱离的疗效。方法9例人工晶状体眼合并漏斗状视网膜脱离患者行闭合式扁平部三切口玻璃体切割、内引流及硅油填充。结果8例(88.8%)视网膜复位,1例因视网膜粘连较重而致复位不良。9例视力均有不同程度提高,最好可达0.2。术后并发症:1例出现一时性高眼压,1例角膜内皮皱褶混浊经治疗短期内恢复。9例随访期内前房均未发现硅油粒。结论人工晶状体眼可起到相似于正常晶状体的屏障作用,防止硅油进入前房,引起并发症,术中使用高质量的纯化硅油十分重要。
Objective To observe the curative effect of vitrectomy combined with silicone oil in the treatment of intraocular lens combined with funnel retinal detachment. Methods Nine patients with closed intraocular lens (IOL) underwent three-incision vitrectomy, drainage and silicone oil filling. Results Eight patients (88.8%) had retinal reattachment and one patient suffered from poor reset due to severe adhesion of the retina. 9 cases of visual acuity improved in varying degrees, preferably up to 0.2. Postoperative complications: 1 case of transient high intraocular pressure, 1 case of corneal endothelial folds and opacities after treatment in the short term recovery. No oil particles were found in the anterior chamber in 9 cases during the follow-up period. Conclusion Intraocular lens (IOL) can play a barrier role similar to that of normal lens, preventing silicone oil from entering the anterior chamber and causing complications. It is very important to use high quality purified silicone oil intraoperatively.