Chaudhry Nauman A, Cohen Keira A, Flynn Harry W, Murray Timothy G
New England Retina Associates, Hamden, CT, USA.
Semin Ophthalmol. 2003 Sep;18(3):132-41. doi: 10.1076/soph.18.3.132.29806.
Concurrent cataract and vitreoretinal disorders are relatively common. Additionally, a considerable number of phakic eyes develop visually significant cataract following pars plana vitrectomy. The ophthalmic literature is replete with reports of a combined procedure consisting of simultaneous cataract extraction, intraocular lens implantation, and pars plana vitrectomy to treat a wide range of vitreoretinal disorders and co-existing cataracts. Historical concerns of increased risk of complications with the combined procedure have been shown not to be clinically significant. The combined procedure offers the advantages of a single procedure, including faster recovery time and cost effectiveness. Earlier reports of the combined procedure describe pars plana lensectomy and extracapsular cataract extraction as techniques for cataract extraction. Currently, phacoemulsification with implantation of a foldable posterior intraocular lens implantation has become the preferred technique of cataract removal. With advances in instrumentation and surgical techniques, the combined procedure offers a safe and effective way to manage concurrent cataract and complex vitreoretinal disease.
白内障与玻璃体视网膜疾病同时存在相对常见。此外，相当数量的有晶状体眼在玻璃体切割术后会出现具有明显视觉影响的白内障。眼科文献中充斥着关于联合手术的报道，该联合手术包括同时进行白内障摘除、人工晶状体植入和玻璃体切割术，以治疗多种玻璃体视网膜疾病及并存的白内障。以往对联合手术并发症风险增加的担忧已被证明在临床上并不显著。联合手术具有单次手术的优势，包括恢复时间更快和成本效益更高。早期关于联合手术的报道将扁平部晶状体切除术和囊外白内障摘除术描述为白内障摘除技术。目前，植入可折叠后房型人工晶状体的超声乳化术已成为白内障摘除的首选技术。随着器械和手术技术的进步，联合手术为处理并存的白内障和复杂的玻璃体视网膜疾病提供了一种安全有效的方法。
