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为探讨玻璃体视网膜手术联合晶体摘除术的手术适应证及术式选择，本文对一年间３４例（３４眼）联合手术的病例进行了观察。比较了各种玻璃体视网膜手术联合晶体摘除各类手术术式、术后最终随访结果及术后并发症，提出玻璃体视网膜手术联合晶体摘除术的适应证决定于①术前有无晶体混浊；②具有前部增殖性视网膜病变及需注硅油者；③６０岁以上老年患者术后易发生核性白内障；④术中伤及晶体。术式选择取决于①术眼眼底病变程度及晶体核硬度；②手术者对术式掌握程度及医院现有设备条件。并提出Ⅰ期植入人工晶体的手术适应证。
In order to explore the surgical indications and surgical options of vitreoretinal surgery in combination with crystal exclusion, 34 cases (34 eyes) in one year were observed. A variety of vitreoretinal surgery combined with crystal removal of various types of surgical procedures, postoperative final follow-up results and postoperative complications, vitreoretinal surgery combined with crystal removal indications determined ① preoperative presence of crystal opacity; ② have Anterior proliferative retinopathy and silicone oil injection; ③ elderly patients over the age of 60 prone to nuclear cataract; ④ intraoperative and intraocular injuries. The choice of surgical procedure depends on the degree of ocular fundus lesions and the hardness of the nucleus. The degree of mastery of surgical procedures and the existing equipment in the hospital. And put forward the first phase implantation of intraocular lens surgery indications.