DR硅油填充后并发白内障行超声乳化联合硅油取出

Clinical study of phacoemulsification combined silicone oil removal in eyes with silicone oil temponade in diabetic retinopathy

摘要:

目的：探讨糖尿病视网膜病变硅油填充后并发白内障的超声乳化及人工晶状体（IOL）植入联合硅油取出术的临床疗效。 方法：糖尿病视网膜病变患者22例22眼硅油填充后并发白内障行超声乳化及IOL植入联合硅油取出术，均通过角膜透明切口植入软性IOL。 结果：患者19眼视力均在白内障超声乳化手术后视力较术前提高，其中0.1以上者13例，3例同术前视力；手术中后囊膜保持完整，均顺利植入软性可折叠IOL；5例术后不同程度发生角膜水肿，均在术后3~7d内消退。22例硅油均顺利取出。3例术后1mo内发现玻璃体腔积血，其中2例约4wk内玻璃体腔积血自行吸收，1例再行玻璃体手术去除积血联合眼内光凝。22例术后均未发现视网膜再脱离。 结论：糖尿病视网膜病变硅油填充眼并发性白内障的超声乳化IOL植入术联合硅油取出手术效果满意，可减少患者多次手术的痛苦。

Abstract:

AIM:To observe the clinical effect of phacoemulsification combined silicone oil removal in eyes with silicone oil temponade complicated cataractin diabetic retinopathy. METHODS:Twenty-two cases(22 eyes) with diabetic retinopathy after silicone oil temponade complicated cataract were performed phacoemulsification and intraocular lens implantation combined silicone oil removal. All eyes were transplanted soft intraocular lenses smoothly by corneal transparent incision. RESULTS:Visual acuity of 19 eyes improved after phacoemulsification, 13 cases were better than 0.1, 3 cases were similar with that before. Posterior capsule remained complete intraoperatively, and all eyes smoothly transplanted soft intraocular lenses. Corneal edema occurred in 5 cases, then regressed in postoperative 3-7 days. 22 cases were removed silicone oil smoothly. 3 cases occurred vitreous hemorrhage in postoperative 1 month, among which 2 cases spontaneously absorbed in 4 weeks, 1 case was performed vitrectomy combined with intraocular laser coagulation. 22 cases did not occur retinal re-detachment. CONCLUSION:Phacoemulsification combined silicone oil removal for the treatment of eyes with silicone oil temponade complicated cataractin diabetic retinopathy is not only effective, but also reduces pain caused by repeated operations.