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目的分析白内障摘除、玻璃体视网膜手术联合一期后房型人工晶体植入术的疗效。方法回顾性分析42例(42眼)白内障摘除、玻璃体视网膜手术联合一期后房型人工晶体植入术的疗效。眼球穿孔伤外伤性白内障32眼,其中伴眼内异物13眼,伴玻璃体混浊19眼。老年性白内障伴视网膜脱离4眼,伴视网膜静脉阻塞玻璃体混浊6眼。结果术后视力提高38眼(90.5%),不变4眼(9.5%)。保留晶体前囊的19眼术后囊膜明显混浊者4眼(21.1%),保留晶体后囊的23眼术后囊膜明显混浊者3眼(13.0%)。结论白内障摘除、玻璃体视网膜手术联合一期后房型人工晶体植入对经选择的玻璃体视网膜条件较好的患者安全有效。
Objective To analyze the curative effect of cataract extraction combined with posterior chamber intraocular lens implantation combined with vitreoretinal surgery. Methods A retrospective analysis of 42 cases (42 eyes) of cataract extraction, vitreoretinal surgery combined with stage I phacoemulsification. Traumatic eye injury traumatic cataract 32 eyes, including 13 eyes with intraocular foreign body, with 19 eyes with vitreous opacity. 4 cases of senile cataract with retinal detachment, 6 cases of retinal vein occlusion with vitreous opacity. Results Postoperative visual acuity increased 38 eyes (90.5%), unchanged 4 eyes (9.5%). Nineteen eyes (21.1%) with obvious opacification of the anterior lens capsule and three eyes (13.0%) with obvious opacification of the outer capsule were preserved in 19 eyes. Conclusion Cataract extraction, vitreoretinal surgery combined with stage I posterior chamber intraocular lens implantation is safe and effective for patients with selected vitreoretinal conditions.