目的:探讨玻璃体切除联合晶状体切除保留前囊膜同时植入人工晶状体的临床疗效。方法:玻璃体视网膜病变同时伴有晶状体混浊46例46眼,术中采用经睫状体平坦部切口切除晶状体,保留前囊膜,并行玻璃体切除,Ⅰ期植入人工晶状体。结果:所有患者视力均有不同程度提高,部分患者复查时前囊膜出现不同程度混浊,行YAG激光切开。结论:玻璃体切除联合晶状体切除保留前囊膜Ⅰ期植入人工晶状体,保留了眼内正常解剖结构,减少了术中及术后并发症,视力恢复良好。

AIM:To investigate the curative effect of removal of the lens,retaining the anterior capsule and intraocular lens implantation in vitrectomy.METHODS:Forty-six cases (46 eyes) with vitreoretino-pathy accompanied by lens opacity underwent removal of the lens through ciliary body pars plana incision,retaining anterior capsule,parallel vitrectomy,the first stage intraocular lens implantation. RESULTS:Visions of all the patients were improved at varying degrees. In some patients the anterior lens capsule showed turbidity at different degrees during the review and YAG laser incision was performed.CONCLUSION:Removal of the lens capsule,retaining the anterior lens capsule and intraocular lens implantation in stage Ⅰin vitrectomy can keep the normal eye an-atomic structure,decrease the complications before and after the operation,and the visual acuities get good recovery.

R779.6