白内障术后无张力瞳孔的临床探讨  

Clinical analysis on atonic pupil following cataract surgery

作　　者：李俊宁[1] 何侦 

机构地区：[1]北海市第二人民医院眼科,广西536000

出　　处：《中国临床新医学》2011年第1期41-43,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨白内障术后无张力瞳孔的发生机理。方法回顾性分析2004-01～2009-12白内障术后发生无张力瞳孔病例的原因。结果 1812例白内障手术中发生无张力瞳孔22例,发生率为1.21%,术后瞳孔呈中等度散大,对光反应、调节反射消失,不能用缩瞳剂缩小,呈现无张力状态。结论白内障术后无张力瞳孔发生机制复杂,原因不明,目前缺乏有效治疗方式,重在预防。Objective To evaluate the pathogenesis of atonic pupil following cataract surgery. Methods Retrospective study on atonic pupil following cataract surgery from January 2004 to December 2009 in Beihai No. 2 people＇s hospital was performed. Results Twenty-two eyes with atonic pupil in 1 812 cataract surgery were found and the incidence rate was 1.21%. All pupils showed moderate dilatation, atony and failure in reaction to light, absence of accommodation reflex, no response to myotic agents and tention-frce status. Conclusion The pathogenesls of atonic pupil was complex and uncertain. Until now, there is no effective therapy to this disease, and prevention should be emphasized.

关 键 词：无张力瞳孔 白内障手术 虹膜损伤 病因 

分 类 号：R779.66[医药卫生—眼科]