方法：回顾性分析75例75眼硅油填充眼并发性白内障患者，分成三组，A组采取经瞳孔区硅油取出联合白内障超声乳化摘除及IOL植入术，B组采取23G玻璃体切除系统经睫状体扁平部硅油取出联合白内障超声乳化摘除及IOL植入术，C组采取20G玻璃体切除系统经睫状体扁平部切口硅油取出联合白内障超声乳化摘除及IOL植入术。比较三组手术时间、术前术后眼压和最佳矫正视力、术后眼部刺激症状时间、并发症的发生情况。

结果：三组术眼术后眼压组间比较无统计学差异，术后视力较术前均有所提高，组间比较无统计学差异，并发症三组也没有差异； 但是A组和B组较C组所需手术时间更短； 在术后眼部刺激症状时间上，A组较B组和C组更短。

结论：三组手术方式均安全有效，应根据患者病情选择适合的手术方式，对于术前明确眼底情况恢复良好的硅油填充眼并发性白内障，经瞳孔区硅油取出联合白内障超声乳化及IOL植入术是一种快速安全有效的联合手术方式。

METHODS: The data of 75 eyes of 75 patients with cataract induced by silicone oil-filled eye were reviewed. Those patients were divided into group A, B, C. The patients in group A were treated by phacoemulsification combined with silicone oil removal through pupil and IOL implantation, the patients in group B were treated by phacoemulsification combined with silicone oil removal through 23G vitrectomy system and IOL implantation, the patients in group C were treated by phacoemulsification combined with silicone oil removal through 20G vitrectomy system and IOL implantation. The operation time, intraocular pressure, best corrected visual acuity(BCVA), discomfort days and complications before and after the surgery were compared.

RESULTS: The differences of the intraocular pressure were not statistically significant between the three groups after the surgery. The BCVA of the three groups were all improved, but the differences were not statistically significant between three groups. The differences in postoperative complications showed no statistically significant. Otherwise, group A and B cost less operation time. The discomfort days of group A were less than other groups.

CONCLUSION: Three different surgical methods were safe and effective, appropriate surgical approach could be chosen according to the patients' clinical manifestations. For patients with cataract induced by silicone oil-filled eye whose retina recovered well, phacoemulsification combined with silicone oil removal through pupil and IOL implantation is a time-saving, safe and effective method.