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目的 探讨眼内硅油填充后并发白内障手术特点 ,评价手术疗效。方法 18只眼行白内障囊外摘除手术 ,2只眼行睫状体平坦部晶体切除术 ,其中 3只眼联合取硅油术。结果 硅油术后至白内障术前随访时间 6～2 7月 ,术后随访 3～ 6月。常见并发症为前房反应 2 0只眼 ,硅油溢出 15只眼 ,后囊膜破裂 3只眼。最终视力提高 16只眼 ,不变 3只眼 ,下降 1只眼。大多数达到或接近硅油填充后最佳视力。结论 玻璃体切除联合眼内硅油填充并发白内障手术成功依赖于视网膜复位良好前提下 ,术中防止硅油溢出 ,维持清亮视轴 ,术后密切随访 ,及时治疗各种视网膜病变。硅油填充下视网膜复位条件差及还有收缩膜的 ,可以不放出硅油。
Objective To investigate the characteristics of intraocular silicone oil cataract surgery and evaluate the curative effect. Methods Eighteen eyes underwent extracapsular cataract extraction and two eyes underwent ciliary body flat partial thyroidectomy. Three of them received silicone oil surgery. Results The operation time from preoperative silicone oil to cataract surgery was 6 to 27 months and was followed up for 3 to 6 months. Common complications were anterior chamber reaction 20 eyes, silicone oil spill 15 eyes, posterior capsular rupture 3 eyes. Final vision improved 16 eyes, unchanged 3 eyes, down 1 eye. Most reach or close to the best visual acuity after silicone oil is filled. Conclusions Vitrectomy combined with intraocular silicone oil filling and cataract surgery relies on the good retinal reattachment under the premise of intraoperative silicone oil to prevent overflow, to maintain a clear visual axis, follow-up after surgery, timely treatment of various retinopathy. Retinal filling silicone oil filled under the poor conditions and shrink film, you can not release silicone oil.