葡萄膜炎并发白内障的手术效果分析  

Analysis of surgical effect of the patients with uveitis-complicated cataract

作　　者：叶纹[1] 冯佩丽[1] 

机构地区：[1]上海第二医科大学附属瑞金医院眼科,200025

出　　处：《眼科新进展》2001年第3期197-198,共2页Recent Advances in Ophthalmology

摘　　要：目的分析葡萄膜炎并发性白内障的手术效果。方法对 2 9例 31眼葡萄膜炎并发性白内障患者施行超声乳化白内障摘出术。其中虹膜睫状体炎 14眼 ,Fuchs异色性虹膜睫状体炎 7眼 ,中间葡萄膜炎 7眼 ,Vogt-小柳 -原田综合征 2眼 ,交感性眼炎 1眼。随访 5～ 2 8mo,平均 15 mo,并进行回顾性分析。结果术后矫正视力≥ 0 .5者占 80 % ,1眼(Vogt-小柳 -原田综合征 )术后出现较严重的前部葡萄膜炎症 ,1眼 (虹膜睫状体炎 )见 IOL表面纤维素性渗出膜 ,2眼(中间葡萄膜炎 ) IOL表面见片状白色碎屑。结论采用对眼组织损伤较小的超声乳化技术 ,术中避免刺激虹膜 ,尽量清除晶状体皮质 ,并将 IOL 植入囊袋内 ,对于在炎症相对静止期的葡萄膜炎 ,同样可获得较轻的术后炎症反应、较少的并发症和较好的视力。Objective To analyze the surgical results of uveitis complicated cataract.Methods Cataract phacoemulsification surgery was performed on 31 eyes (29 patients) due to uveitis (iridocyclitis 14 eyes, Fuchs heterochromic cyclitis 7 eyes, intermediate uveitis 7 eyes, Vogt koyanagi harada syndrome 2 eyes, and sympathetic ophthalmia 1 eye). Follow up period was 5~28 months, averaging 15 months. Retrospective analysis was made.Results Postoperative visual acuity≥0.5 was 80%. One eye (Vogt koyanagi harada syndrome) showed severe anterior uveitic reaction; One eye (iridocyclitis) had fibrinous membranes on IOL, and white debris on IOL were found in 2 eyes (intermediate uveitis).Conclusion By using less traumatic phacoemulsification technique to ocular tissue, taking meticulous care to avoid stimulating iris, cleaning up cortex thoroughly during surgery and implanting the IOL in the bag, less inflammatory reaction, less complication and better vision acuity postoperatively at relative quiescence period of uveitis can be achieved.

关 键 词：白内障 葡萄膜炎 超声乳化术 并发症 

分 类 号：R773[医药卫生—眼科] R776.1[医药卫生—临床医学]