目的:探讨硅油填充眼并发性白内障联合手术的临床疗效。方法:对56例56眼硅油填充眼并发性白内障患者行硅油取出联合手法小切口白内障囊外摘出和人工晶状体植入术,术后观察视力、眼压、前房炎症反应、人工晶状体位置、后囊混浊情况及有无玻璃体出血和视网膜脱离情况。结果:随访3～12（平均7.26 ±1.38）mo,53眼（95%）视力有不同程度的提高,≥0.05者47眼（84%）,≥0.3者27眼（48%）,术后矫正视力与术前相比差异有统计学意义（P＜0.05）。前房均有轻度炎症反应,4眼（7 %）出现暂时性高眼压,通过局部应用药物恢复正常,15眼（27%）后囊灰白色混浊行Nd: YAG激光后囊切开,2眼（4%）发生视网膜脱离。所有病例均无大泡性角膜病变、硅油泡残留、人工晶状体移位、玻璃体积血等并发症。结论:硅油填充眼并发性白内障行硅油取出联合手法小切口白内障囊外摘出和人工晶状体植入手术,能够恢复视力,缩短手术周期,减少手术次数,是一种安全、有效的方法。

AIM:To investigate the clinical effect of silicone oil removal combined with manual small incision extracapsular cataract extraction and intraocular lens (IOL) implantation. METHODS:Fifty-six cases (56 eyes) of complicated cataract induced by silicone oil-filled eye underwent silicone oil removal combined with manual small incision extracapsular cataract extraction and intraocular lens implantation. Postoperative follow-up ranged from 3 to 12 months with medium 7.26±1.38 months. Data were collected on corrected visual acuity, intraocular pressure (IOP), reaction of anterior chamber, location of IOL, opacity of posterior capsular, vitreous hemorrhage and reattachment of retina. RESULTS:Postoperative visual acuities of 53 eyes (95%) increased, ≥0.05 in 47 eyes（84%）, ≥0.3 in 27 eyes（48%）, there was significant difference between preoperative and postoperative vision (P＜0.05). Four eyes (7%) had temporary ocular hypertension and recovered by local drugs. Posterior capsulectomy was performed with the Neodymiun: YAG laser in 15 eyes (27%), retinal detachment happened in 2 eyes (4%). None of the cases had complications, such as bullous keratopathy,silicone oil residues, IOL displacement and vitreous hemorrhage. CONCLUSION:Silicone oil removal combined with manual small incision extracapsular cataract extraction and intraocular lens (IOL) implantation is a safe and effective method for complicated cataract induced by silicone oil-filled eye, it can improve vision, shorten period of surgery and reduce times of surgery.