类风湿关节炎患者人工晶状体植入后前房反应  

Anterior chamber inflammation after intraocular lens implantation in patients with rheumatoid arthritis

作　　者：马伟华[1] 赵俊丽[2] 

机构地区：[1]河南省漯河市第三人民医院眼科,462000 [2]南京晓庄学院

出　　处：《中华眼外伤职业眼病杂志》2013年第7期537-539,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察类风湿关节炎患者白内障囊外摘出人工晶状体植入术（ECCE＋IOL）与超声乳化吸出人工晶状体植入术（Phaco＋IOL），比较其术后前房反应程度；探讨类风湿因子滴度与术后前房反应的关系。方法类风湿关节炎患者11例（11眼）行ECCE＋IOL术；10例（12眼）行Phaco＋IOL术。术后复诊随访。结果除1例（1眼）视神经萎缩，1例（1眼）老年黄斑变性外，其它均获得了0．6或以上的矫正视力，3个月后前房炎症消失，无手术并发症；行Phaco＋IOL术后前房反应较ECCE＋IOL术后前房反应轻，术后3d两组间的差异具有统计学意义（mann—whitneyutest分析P=0．0258）。术后3d、1个月不同前房反应组的类风湿因子之间差异无统计学意义（mann—whitneyUtest分析，P〉0．05）。结论类风湿性关节炎患者Phaco＋IOL术后前房反应较ECCE＋IOL术后前房反应轻；术后前房反应的程度与术前类风湿因子滴度无关。Objective To compare the postoperative anterior chamber inflammation between extra- capsular cataract extraction with intraocular lens implantation （ECCE ＋ IOL） and phacoemulsification with intraocular lens implantation （ Phaco ＋ IOL） on patients with rheumatoid arthritis, and to investigate the rela- tion of rheumatoid factor and inflammation in anterior chamber. Methods The medical records of 23 eyes of 21patients with rheumatoid arthritis were reviewed, who underwent cataract extraction with intraocular lens implantation. ECCE ＋ IOL was performed in 11 cases （ 11 eyes）, and Phaco ＋ IOL was performed in 10 ca- ses （ 12 eyes）. Patients had been followed up for 3 months. Results All the eyes, except for one case of optic atrophy and one case of age-related macular degeneration, acquired visual acuity of 0.6 or better. In- flammation in anterior chamber disappeared 3 months after surgery, and left no operative complication in any of the eyes . The inflammation in anterior chamber on patients who performed Phaco ＋ IOL was lighter than patients who performed ECCE ＋ IOL. Postoperative difference of 3 days between the two groups was statisti- cally significant （ mann-whitney u test P = 0. 0258 ）. There was no significant of anterior chamber reaction difference between the two groups 3 days or 1 month after the operation （ mann-whitney u test P 〉 0.05 ）. Conclusion The inflammation in anterior chamber on patients who performed Phaco ＋ IOL was lighter than patients who performed ECCE ＋ IOL. The persistence of inflammation in anterior chamber after surgery was not related to rheumtoid factor.

关 键 词：白内障囊外摘出术 超声乳化术 晶状体 人工 前房反应 类风湿因子 

分 类 号：R779.66[医药卫生—眼科] R593.22[医药卫生—临床医学]