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目的:探讨对无晶体、无玻璃体眼再次手术的有效方法。方法:总结、分析14例无晶体、玻璃体眼,在我院接受再次手术患者的疗效及并发症,随访时间6月-28个月,其中可折叠式IOL植入6只眼,带虹膜隔IOL植入2只眼,穿透性角膜移植1只眼,硅油取出2只眼,硅油取出联合可折叠IOL植入3只眼。结果:术后矫正视力≥1.0者2只眼,0.5-0.9者4只眼,0.1-0.4者4只眼,眼前指数3只眼,光感1只眼。结论:对无晶体、玻璃体眼再次手术能有效提高患眼视力,术中如何保持稳定的眼内压,避免脉络膜出血发生是手术成功的关键。
Objective: To explore the effective method of reoperation for aphakia-free and vitreous-free eyes. Methods: To summarize and analyze the curative effect and complications of 14 patients with aphakia and vitreous ophthalmopathy undergoing reoperation in our hospital. The follow-up time ranged from June to 28 months. There were 6 eyes with foldable IOL implanted with IOL Two eyes were implanted, one penetrating keratoplasty was transplanted, two eyes were removed with silicone oil, and three eyes were implanted with silicone oil in combination with collapsible IOL. Results: Postoperative corrected visual acuity ≥ 1.0 in 2 eyes, 0.5-0.9 in 4 eyes, 0.1-0.4 in 4 eyes, immediate anterior index in 3 eyes and 1 in sensory light. CONCLUSION: Reoperation of aphakia and vitreous ophthalmia can effectively improve the visual acuity of the eye. How to maintain a stable intraocular pressure during operation and avoid the occurrence of choroidal hemorrhage is the key to successful operation.