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目的 :探讨玻璃体视网膜手术联合硅油眼内填充术后并发性白内障行白内障超声乳化和 /或人工晶体植入联合硅油取出术的临床效果。方法 :对 2 2例 2 2眼硅油填充术后并发性白内障进行白内障超声乳化联合硅油取出手术 ,其中 9例通过巩膜隧道切口植入硬性人工晶体 ,3例通过角膜切口植入折叠人工晶体 ,10例未植入人工晶体。结果 :2 2例手术中后囊膜保持完整 ,除 10例因高度近视、视网膜条件很差或再发视网膜脱离而未植入人工晶体外 ,其余均顺利植入人工晶体。术后 5例发生角膜水肿 ,均在术后 3～ 7天内消退。硅油取出顺利。 3例术中发现限局性网脱 ,行视网膜复位后 ,2例C2 F6气体填充术后 2周再发网脱 ,1例再次硅油填充视网膜保持复位。视力除 3例再发网脱外 ,其余均达到玻璃体手术后最佳视力。结论 :硅油填充眼合并白内障行白内障超声乳化联合硅油取出手术不仅安全、有效、而且可减少病人多次手术的痛苦
Objective: To investigate the clinical effect of phacoemulsification and / or intraocular lens implantation combined with silicone oil removal after vitreoretinal surgery combined with silicone oil intraocular filling for complicated cataract. METHODS: Twenty-two cases of cataract complicated with silicone oil-filled postoperative cataract surgery were performed with phacoemulsification combined with silicone oil removal. Among them, 9 cases were implanted with hard intraocular lens via scleral tunnel incision, 3 cases were implanted with folded intraocular lens via corneal incision, 10 Cases were not implanted intraocular lens. Results: The posterior capsular membrane remained intact in 22 cases. All cases were successfully implanted intraocular lens except 10 cases with high myopia, poor retina or retinal detachment without intraocular lens implantation. Corneal edema occurred in 5 cases postoperatively, all within 3 to 7 days after operation. Remove the silicone oil smoothly. Three patients were found to limit the network reticulum, line retinal reattachment, two cases of C2 F6 gas filling 2 weeks after the re-off the net, 1 case of silicone oil filled the retina to maintain the reset. Visual acuity in addition to 3 cases of recurrence net off, the rest have reached the best visual acuity after vitreous surgery. Conclusions: Cataract phacoemulsification and silicone oil extraction combined with silicone oil-filled cataract surgery is not only safe and effective, but also can reduce the pain of multiple surgeries in patients