后囊膜完整的人工晶状体眼视网膜脱离临床分析

摘要

目的 探讨后囊膜完整的人工晶状体眼视网膜脱离临床特点、发病因素及手术方法. 方法回顾性分析我院自2004年6月至2007年6月收治的后囊膜完整的人工晶状体眼视网膜脱离21例(21只眼)患者的资料. 结果 21例中行玻璃体切割术16例,行巩膜扣带术5例.随访8个月至2年,视网膜首次复位的19例,占90.5%;待取油及惰性气体吸收后视力提高的15例,占71.4%. 结论老年性白内障摘除人工晶状体植入眼术后的患者应加强随访,术后视网膜脱离发生后及时就诊、手术方式的正确选择是挽救患者视功能的关键因素.%Objective AIM To analyze the clinical characteristics, pathogenic factors and surgical Methods in patients with retinal detachment after implantation of intraocular lens with intact posterior capsular. Methods Data from 21 patients with retinal detachment after implantation of intraocular lens with intact posterior capsular from Jun, 2004 to Jun,2007 was retrospectively analyzed. Results 16 case underwent vitrectomy, while 5 cases were treated with sclera buckling.After 8 months to 2 years follow-up, retinal reattachment was observed in 19 cases, and visual acuity was improved more than 1 line in 15 cases. Conclusion Patients with implantation of intraocular lens should be followed-up regularly. It is important to choose correct surgical methods for saving patients' vision.