目的:探讨冷超声乳化联合玻璃体切除术的临床应用疗效。方法:对98例106眼白内障合并眼后节病变的患者进行冷超声乳化联合玻璃体切除手术。术后观察视力、人工晶状体植入率和手术并发症。结果:术后1wk;3mo绝大多数患者的视力均有不同程度提高,人工晶状体植入率为75.5%,术后可出现继发性青光眼、后发性白内障、葡萄膜炎、玻璃体再出血及视网膜脱离等不良并发症。结论:冷超声乳化联合玻璃体切除术是治疗白内障合并眼后节病变的有效治疗手段,他可替代超声粉碎技术进行晶状体摘除。

AIM:To explore the clinical effect of cool phacoemulsification combined with vitrectomy for cataract and the oculi posterior segment lesions. METHODS:Totally 98 patients 108 eyes with cataract and oculi posterior segment lesions underwent the cool phacoemulsification combined with vitrectomy.The visual acuity,the rate of intraocular lens implantation and surgical complications were observed. RESULTS:On postoperative week 1 and months 3,the visual acuity of most of the patients were improved in varying degrees;there were some complications including secondary glaucoma,after-cataract,uveitis,secondary vitreous hemorrhage,secondary retinal detachment and so on. CONCLUSION:It is an effective therapeutic tool to treat cataract and the oculi posterior segment lesions by cool phacoemulsification combined with vitrectomy,which is worth promoting;And can replace sonicate technology for lens extraction.

R779.6