双微联合手术治疗合并白内障玻璃体视网膜疾病的疗效

摘要

目的:研究2mm微切口白内障超声乳化联合23G微创玻璃体切割手术治疗合并白内障玻璃体视网膜疾病的临床疗效.方法:回顾性分析2013-02/2016-02在本院接受治疗的合并白内障玻璃体视网膜疾病的患者92例99眼的临床基本资料,其中男49例53眼,女43例46眼,平均年龄57.1±1.9岁;患者进行眼球麻醉后行玻璃体切割术结合白内障的超声乳化;观察患者的手术疗效和术中、术后出现的并发症情况.结果:患者联合手术均进行得比较顺利,手术中没有后囊膜发生破裂的患者出现.患者中有7眼使用BSS液进行填充,有46眼注射入硅油,有46眼注射入C3F8;有49眼Ⅰ期时放置人工晶状体,有21眼在取出硅油时Ⅱ期放置人工晶状体;患者手术以后视力得到提升的有84眼(85%),视力没有发生变化的有15眼(15%);患者手术后出现的并发症包含一过性高眼压18眼(18%)、前房反应7眼(7%)和角膜水肿8眼(8%).结论:2mm微切口白内障超声乳化联合23G微创玻璃体切割手术对患者的创伤小、并发症少,是一种安全有效的手术方式.%AIM: To study the clinical curative effect of 2mm micro incision phacoemulsification combined with 23G minimally invasive vitrectomy for cataract and vitreoretinal diseases.METHODS: Retrospective analysis of 92 patients (99 eyes),including 49 male (53 eyes),43 female (46 eyes) with mean age was 57.1±1.9 years,in our hospital for cataract and vitreoretinal treatment of the disease from February 2013 to February 2016.All patients underwent 2mm micro incision phacoemulsification combined with 23G minimally invasive vitrectomy.Curative effect and complications were observed.RESULTS: Combined surgical procedures were carried out smoothly.posterior capsule rupture did not occurred.seven eyes were filled with BSS fluid,46 eyes with C3F8,49 eyes with intraocular lens at phase Ⅰ,21 eyes placed intraocular lens when silicone oil was removed.The visual acuity improved in 84 eyes (85%),unchaged in 15 eyes (15%).Postoperative complications included transient high intraocular pressure in 18 eyes (18%),anterior chamber reaction in 7 eyes (7%) and corneal edema in 8 eyes (8%).CONCLUSION: The 2mm micro incision phacoemulsification combined with 23G minimally invasive vitrectomy is a safe and effective surgical method with less injury,fewer complications.