玻切联合硅油填充术后并发性白内障的手术治疗

探讨白内障超声乳化吸除+硅油取出+人工晶状体植入+后囊膜环形切除术治疗玻璃体切割联合硅油填充术后并发性白内障的疗效。 方法：回顾分析2007-11/2011-11玻璃体切割联合硅油填充术后白内障患者102例102眼,距离玻璃体手术时间3~9（平均6.1）mo，采用玻璃体腔灌注，先行白内障超声乳化手术，前房注入黏弹剂，行硅油置换，然后人工晶状体植入，环形后囊切开，观察术中、术后并发症，术后视力等。 结果：术后 4wk，102例102眼中，97眼视力不同程度提高,5眼术后视力无改善；后囊破裂2例，无晶状体核坠入玻璃体，无脉络膜脱离。 结论：玻璃体切割联合硅油填充术后行白内障超声乳化吸除+硅油取出+人工晶状体植入+后囊膜环形切除术治疗玻璃体切割联合硅油填充术后并发性白内障，可有效减少术中、术后并发症，同时避免二次手术所带来的风险。

Surgery efficacy of complicated cataract after vitrectomy combined with silicone oil tamponade

AIM:To investigate the phacoemulsification treatment after vitrectomy combined with silicone oil tamponade.METHODS:Totally 102 cases(102 eyes) of cataract after vitrectomy combined with silicone oil tamponade during 2007-11/2011-11 were retrospectively analysed,3 to 9(mean 6.1) months after the vitreous surgery.Vitreous cavity infusion was used.The patients were first treated with phacoemulsification,anterior chamber injection of viscoat and silicone oil replacement,and then with intraocular lens implantation and circular posterior capsulotomy.Intraoperative and postoperative complications,postoperative vision and so on were observed.RESULTS:Four weeks after operation,visual acuity had varying degrees of improvement in 97 eyes and no improvement in 5 eyes among the 102 eyes of 102 cases;posterior capsular rupture occurred in 2 cases,no lens nucleus falling into vitreous body or choroidal detachment occurred.CONCLUSION:Phacoemulsification,silicone oil removal,intraocular lens implantation and circular posterior capsulotomy for complicated cataract after vitrectomy combined with silicone oil tamponade can effectively reduce intraoperative and postoperative complications,and meanwhile avoid the risks arising from the secondary operation.