摘要目的 观察玻璃体视网膜手术治疗激光后囊切开术后视网膜脱离的效果.方法 回顾性病例分析.Nd∶YAG激光后囊切开后视网膜脱离30例(30眼),在Resight非接触广角镜系统下进行玻璃体视网膜手术.随访12个月.结果 一次手术后视网膜复位27例(90.00％).未复位的3例中,1例进行了2次硅油填充术,1例进行了3次硅油填充术后视网膜得以复位;另外1例因为严重的PVR导致视网膜复位困难而放弃治疗.最后视网膜复位为29例(96.67％).视力(Log MAR)术后各时间点与术前比较差异均具有统计学意义(F =2.468,P=0.001).术后12个月视力最好.结论 23 G玻璃体切除术治疗激光后囊切开术后视网膜脱离安全有效.

abstractsObjective To observe the efficacy of vitreoretinal surgery in the treatment of retinal detachment after laser posterior capsulotomy.Methods A retrospective case-control study.A total of 30 eyes of 30 cases with retinal detachment after laser posterior capsulotomy were enrolled and all cases underwent 23 G vitrectomy under non-contact wide angle lens.The follow-up time was 12 months.Results The retina was reattached successfully after once operation in 27 eyes (90.00％).The retina failed to be reattached in 3 eyes.Among them 2 eyes received second and third operations respectively to achieve retinal reattachment.The retinal detachment with severe proliferative vitreoretinopathy (PVR) was untreatable in 1 eye.Finally there were 29 eyes (96.67％) with retinal reattachment.The difference of visual acuity (Log MAR) was significant between before and after operation (F =2.468,P =0.001).The visual acuity was best at 12 months after operation.Conclusion 23 G vitrectomy with non-contact wide angle lens for the treatment of retinal detachment after laser posterior capsulotomy is safe and effective.