Wilczyński Michał, Pikulski Zbigniew, Dziegielewski Krzysztof, Omulecki Wojciech
Z Kliniki Chorób Oczu Uniwersytetu Medycznego w Lodzi.
Klin Oczna. 2005;107(4-6):252-5.
Cataract often coexists with pathologies of the vitreous body. Moreover, after several months after vitrectomy, the lens becomes opaque. Lens opacities interfere with appropriate visualisation of the vitreous chamber and the eye fundus, which makes performing vitreoretinal procedures difficult. For this reason, in such patients, a combined procedure of pars plana vitrectomy and cataract extraction can be considered. This is retrospective analysis of the indications and results of combined cataract extraction and pars plana vitrectomy.
The data were based on case histories of patients who underwent combined cataract extraction and pars plana vitrectomy in the years 2001 - 2003, in the Department of Ophthalmology, Medical University of Lódź. The evaluated data included: diagnosis, pre- and postoperative best corrected visual acuity, intraocular pressure, pre- and postoperative state of the anterior and posterior segment of the eye and the employed surgical techniques.
The examined group consisted of 40 patients (40 eyes), including 20 men and 20 women, at the age from 13 to 76 years old (mean 55.7, SD+/-14.6). The indications to vitrectomy were: vitreous haemorrhage, retinal detachment, vitreoretinal proliferations, intraocular foreign body, persistent hyaloid artery and endophthalmitis. Phacoemulsification was the most often used method of cataract extraction (34 people, 85%). In three patients cataract was removed by classical extracapsular cataract extraction (ECCE), and in further 3 patients bimanual aspiration was used. In terms of anatomical results, therapeutic success was achieved in 35 cases (87,5%). Improvement of visual acuity was observed in 28 people (70%), unchanged visual acuity in 10 people (25%), and a decrease in visual acuity in 2 patients (5%). Improvement of visual acuity at least 2 lines on Snellen's chart was achieved in 20 patients (50%).
白内障常与玻璃体病变并存。此外，玻璃体切除术后数月，晶状体变得混浊。晶状体混浊会干扰玻璃体腔和眼底的适当可视化，从而使玻璃体视网膜手术难以进行。因此，对于此类患者，可考虑行扁平部玻璃体切除术联合白内障摘除术。这是一项关于联合白内障摘除术和平部玻璃体切除术的适应证及结果的回顾性分析。
数据基于2001年至2003年在罗兹医科大学眼科接受联合白内障摘除术和平部玻璃体切除术的患者病历。评估的数据包括：诊断、术前和术后最佳矫正视力、眼压、术前和术后眼前段和后段的状况以及所采用的手术技术。
研究组由40例患者（40只眼）组成，其中男性20例，女性20例，年龄在13至76岁之间（平均55.7岁，标准差±14.6）。玻璃体切除术的适应证为：玻璃体出血、视网膜脱离、玻璃体视网膜增殖、眼内异物、永存玻璃体动脉和眼内炎。超声乳化是最常用的白内障摘除方法（34人，85%）。3例患者采用经典囊外白内障摘除术（ECCE）摘除白内障，另外3例患者采用双手抽吸法。在解剖学结果方面，35例（87.5%）取得了治疗成功。28例（70%）患者视力提高，10例（25%）患者视力不变，2例（5%）患者视力下降。20例（50%）患者在斯内伦视力表上视力至少提高了2行。
