Microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in cataract joint vitreoretinal surgery

Abstract

Objective To study the clinical efficacy and feasibility associated with microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in the cataract joint vitreoretinal surgery. Methods It was a retrospective analysis of 47 cases (47 eyes) with intraocular foreign bodies and lens capsule rupture was performed cataract joint vitreoretinal surgery. Among 47 cases, peripheral lattice retinal degeneration in 39 eyes, peripheral retinal tear in 7 eyes, vitreous hemorrhage in 30 eyes, retinal detachment in 7 eyes, retinal serrated edge disintegrate in 2 eyes. The patients were performed cataract extraction, vitrectomy, retinal laser photocoagulation, artificial lens implantation and C3F8 intraocular tamponade operations. In operation, Microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade was adopted. After the surgery, intraocular lens, retina, visual acuity, intraoperative and postoperative complications were observed. The followedup ranged from 6 to 11 months, mean(6.14±2.15) months. Results Intraocular gas filled in 42 eyes, intraocular silicone oil tamponade in 5 eyes. Vision improved in different levels in 44 eyes. Intraocular lens were normotopia in 41 eyes, intraocular lens slightly oblique in 1 eye, rhegmatogenous retinal detachment in 3 eyes, secondary glaucoma in 8 eyes, intraocular pressure backed to normal for from one to two weeks after drug treatment. There were proliferative membrane on corneal endothelial in 2 eyes. Conclusions Microscopically eye light illumination, retinal laser photocoagulation combined with gas anterior chamber tamponade in the cataract joint vitreoretinal surgery is easy to operate, safe and reliable, it has a good practical value, reduce the surgical complications. This procedure is a powerful supplement of cataract joint vitreoretinal surgery. Key words: Eye light illumination; Retinal laser photocoagulation; Anterior chamber gas tamponade; Intraocular foreign body; Cataract vitreoretinal surgery