葡萄膜炎患者白内障摘除联合人工晶体植入术的远期效果  

Long-term results of cataract extraction with intraocular lens implantation in patients with uveitis

作　　者：Rahman I. Jones N.P. 司冰心 

机构地区：[1]The Royal Eye Hospital, Oxford Road, Manchester M13 9WH, United Kingdom

出　　处：《世界核心医学期刊文摘（眼科学分册）》2005年第8期48-49,共2页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：Objective: To investigate the long-term visual results after cataract extract ion in patients with uveitis, and to demonstrate the long-term viability of int raocular lenses. Design: In all, 61 patients (72 eyes), with update clinical exa mination, were retrospectively evaluated. Comparison of preoperative, postoperat ive, and latest visual function including best-corrected Snellen visual acuity, progression of uveitis and its complications, need for postoperative medical or surgical interventions. Results: After a minimum follow-up of 5 years (mean 7 years 7 months), 82%of eyes maintained a visual improvement of two Snellen line s, 74%maintained 6/9 or better, and 14%had 6/18 or worse. The mode acuity was better than 6/6. The prevalence of macular oedema or scarring was 24%, of poste rior capsule opacification 96%, and of glaucoma drainage, 15%. Conclusions: We report the long-term follow-up of cataract extraction and intraocular lens (I OL) implantation performed by a single surgeon on patients with uveitis attendin g a regional tertiary referral uveitis clinic. Using stringent perioperative and postoperative control of inflammation, patients with uveitis usually maintain h igh visual acuity over long-term follow-up. The incidence of sight-threatenin g postoperative complications is low and no ongoing complication has been attrib uted to IOL implantation.Objective: To investigate the long-term visual results after cataract extract ion in patients with uveitis, and to demonstrate the long-term viability of int raocular lenses. Design: In all, 61 patients (72 eyes), with update clinical exa mination, were retrospectively evaluated. Comparison of preoperative, postoperat ive, and latest visual function including best-corrected Snellen visual acuity, progression of uveitis and its complications, need for postoperative medical or surgical interventions. Results: After a minimum follow-up of 5 years (mean 7 years 7 months), 82%of eyes maintained a visual improvement of two Snellen line s, 74%maintained 6/9 or better, and 14%had 6/18 or worse. The mode acuity was better than 6/6. The prevalence of macular oedema or scarring was 24%, of poste rior capsule opacification 96%, and of glaucoma drainage, 15%. Conclusions: We report the long-term follow-up of cataract extraction and intraocular lens (I OL) implantation performed by a single surgeon on patients with uveitis attendin g a regional tertiary referral uveitis clinic. Using stringent perioperative and postoperative control of inflammation, patients with uveitis usually maintain h igh visual acuity over long-term follow-up. The incidence of sight-threatenin g postoperative complications is low and no ongoing complication has been attrib uted to IOL implantation.

关 键 词：白内障摘除 晶体植入 葡萄膜炎 人工晶体 后囊膜 手术干预 黄斑水肿 视功能 炎症控制 瘢痕形成 

分 类 号：R779.66[医药卫生—眼科]