目的：观察玻璃体切割术后硅油填充眼并发白内障行超声乳化联合硅油取出及人工晶状体植入术的临床效果及安全性。 方法：对32例32眼硅油填充术后并发白内障患者行超声乳化联合经睫状体平坦部切口取硅油及折叠式人工晶状体植入术。术后随访3～18(平均9)mo。 结果：术后最佳矫正视力:光感～数指/眼前者3眼, 0.02～0.1者10眼,＞0.1～0.2者12眼,≥0.3者7眼。所有患者均无视网膜脱离、角膜内皮失代偿、人工晶状体移位或硅油残留等。 结论：白内障行超声乳化联合硅油取出及折叠式人工晶状体植入术治疗硅油填充眼并发性白内障安全、有效。

AIM:To observe the safety and efficacy of phacoemulsification combined with silicone oil removal and intraocular lens implantation on the cataractous eyes filled with silicone oil after vitrectomy. METHODS: Totally 32 patients (32 eyes)with complication of cataract when filled with silicone oil after vitrectomy were selected and operated by phacoemulsification combined with removal of silicone oil through pars plana incision and foldable intraocular lens implantation. And then, they were followed up for 3-18 months (average 9 months). RESULTS:The best-corrected visual acuity after surgery were as follows: 3 eyes were light perception to the counting fingers, 10 eyes were 0.02 to 0.1, 12 eyes were between 0.1 and 0.2, and 7 eyes were above or equal to 0.3. And no complications such as retinal detachment, corneal endothelial decompensation, intraocular lens shifted, silicone oil left and so on were observed. CONCLUSION: The operations of phacoemulsification combined with removal of silicone oil through pars plana incision and foldable intraocular lens implantation, treating complication of cataract in eyes filled with silicone oil after vitrectomy, are safe and effective.