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[玻璃体切除术后眼内长期填充硅油的白内障手术]

[Cataract surgery in eyes after vitrectomy filled with long-term silicone oil tamponade].

作者信息

Bilińska Ewa, Nawrocki Jerzy

机构信息

Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi.

出版信息

Klin Oczna. 2003;105(1-2):9-12.

Abstract

PURPOSE

Evaluation of the results of cataract extraction in eyes filled with silicone oil.

MATERIAL AND METHODS

Twenty-nine eyes of 29 patients underwent cataract extraction without intraocular lens implantation, in eyes after vitrectomy filled with silicone oil. The average time of silicone oil tamponade was 3.5 years (range from 10 months to 6 years). The mean follow-up was 26.1 +/- 17.5 months.

RESULTS

Useful visual acuity was achieved in 55% eyes. The main complication was the increased intraocular pressure, which appeared in 38% eyes.

CONCLUSION

Cataract surgery in eyes with long-term silicone oil tamponade get benefit, because it enables restoring the useful visual acuity. More advanced retinal pathology and silicone oil tamponade increase the number of complications.

摘要

目的

评估硅油填充眼白内障摘除术的结果。

材料与方法

29例患者的29只眼在玻璃体切除术后硅油填充眼行白内障摘除术,未植入人工晶状体。硅油填塞的平均时间为3.5年(范围从10个月至6年)。平均随访时间为26.1±17.5个月。

结果

55%的患眼获得了有用视力。主要并发症是眼压升高,出现在38%的患眼中。

结论

长期硅油填塞眼行白内障手术有益,因为它能恢复有用视力。更严重的视网膜病变和硅油填塞会增加并发症的数量。

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