目的:评价玻璃体切除联合白内障手术治疗复杂性视网膜脱离的疗效和安全性。方法:回顾性病例系列研究。122例137眼复杂性视网膜脱离患者接受玻璃体切除联合白内障手术治疗。主要结果包括术后视力和并发症。结果:术后随访时间平均12.8mo。主要病因包括孔源性视网膜脱离,牵拉性视网膜脱离和增殖性糖尿病视网膜病变。术后1,6和12mo与术前比较视力提高大于等于2行分别为37眼(27.0%)、55眼(40.1%)和61眼(44.5%)。结论:玻璃体切除联合白内障手术治疗复杂性视网膜脱离是一种有效、安全的手术。

AIM: To evaluate the visual outcomes and safety of combined pars plana vitrectomy(PPV),phaco-emulsification,and intraocular lens(IOL) implantation in the treatment of complex vitreoretinal diseases.METHODS: Retrospective consecutive interventional case series.137 eyes of 122 patients underwent combined PPV,phacoemulsification,and IOL implantation.Main outcome measures were visual acuity and complications.RESULTS: The mean follow-up was 12.8 months.The main vitreoretinal surgical indications were rhegmatogenous retinal detachment,tractional retinal detachment and proliferative diabetic retinopathy.In total,37 eyes(27.0%),55 eyes(40.1%) and 61 eyes(44.5%) gained two or more lines of vision compared with baseline at 1 month,6 months and 12 months follow-up.CONCLUSION: Combined PPV,phacoemulsification,and IOL implantation was safely and effectively used for cataracts and a variety of complex vitreoretinal diseases.

R779.6