Zhang S, Gao R, Xie H
Zhogshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.
Zhonghua Yan Ke Za Zhi. 1995 Nov;31(6):430-2.
Twelve eyes of twelve cases of cataract after complicated retinal detachment surgery and silicone oil tamponade were treated in this report. Successful extracapsular cataract extraction (ECCE) was performed on 10 of the 12 cases, no oil escape occurred in any of the operation and in one eye an intraocular lens was implanted. Intraoperatively, loss of large amount of silicone oil occurred and it was removed completely in ECCE in 2 cases. After the follow-up periods of 3 approximately 30 months (mean, ten months), ten cases with the intact posterior capsule and silicone oil in place had a good view of the fundus, their retinae were attached and visual acuities were recovered above the best levels after retinal detachment surgery. Two cases with silicone oil removal suffered from retinal re-detachment. The main points of the surgery were discussed, and the effective method of prevention from silicone oil escape and maintenance of the transparency of the posterior capsule after ECCE were proposed.
本报告对12例复杂性视网膜脱离手术后硅油填充的白内障患者的12只眼进行了治疗。12例患者中有10例成功进行了囊外白内障摘除术（ECCE），术中均未发生硅油泄漏，其中1只眼植入了人工晶状体。术中，2例发生大量硅油流失，在ECCE手术中硅油被完全清除。经过约3至30个月（平均10个月）的随访，10例后囊完整且硅油在位的患者眼底观察良好，视网膜复位，视力恢复至视网膜脱离手术后的最佳水平以上。2例硅油取出的患者发生了视网膜再脱离。文中讨论了手术要点，并提出了预防ECCE术后硅油泄漏及维持后囊透明的有效方法。
