超声乳化白内障术后葡萄膜炎-青光眼-前房积血综合征临床资料分析  

Clinical analysis of uveitis-glaucoma-hyphema syndrome after phacoemulsification

作　　者：侯芳[1] 王海燕[1] HOU Fang;WANG Haiyan(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Ophthalmology&Visual Sciences Key Lab,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科,北京同仁医院眼科中心,首都医科大学眼科学院,北京市眼科学与视觉科学重点实验室,北京100730

出　　处：《中国中医眼科杂志》2022年第4期293-296,共4页China Journal of Chinese Ophthalmology

摘　　要：目的探讨白内障术后葡萄膜炎-青光眼-前房积血综合征(UGH)发病机制、临床特点及治疗方法。方法回顾2015年9月—2020年9月期间就诊于北京同仁医院眼科中心,经超声乳化白内障手术后发生UGH患者,统计患者的一般信息、术后发病时间、诱因、治疗方法等,分析总结UGH的临床特征及预后。结果总共纳入UGH患者4例,年龄分布是39~52岁。白内障术后UGH发生时间分布为术后7~10年,其中有3例患者行内窥镜下睫状体光凝+人工晶状体取出+玻璃体切除+人工晶状体悬吊术,手术顺利,术后解除临床症状,随访至今未见复发。1例因视野损伤严重,选择保守治疗。结论白内障术后应加强随访,详细检查,如发现UGH应尽早解除病因,能降低此病引起的其他并发症的风险,UGH对视神经的损害不可逆,手术积极处理可保存有效视力。OBJECTIVETo investigate the pathogenesis,clinical characteristics and treatment of uveitis-glaucoma-hyphema syndrome(UGH)after phacoemulsification.METHODS Patients with UGH after phacoemulsification who were hospitalized in Beijing Tongren Eye Center from September 2015 to September 2020 were retrospectively studied,whose general information,time of onset after surgery,incentives and treatment methods were counted and the clinical characteristics and prognosis of UGH were analyzed and summarized.RESULTSA total of four patients with UGH were included,and the age distribution was 39~52 years old.The distribution of onset time of UCG after cataract surgery was 7~10 years.Among them,three patients underwent endoscopic cyclophotocoagulation,intraocular lens removal,vitrectomy,and intraocular lens suspension.All the operations were successfully,the clinical symtoms were relieved after operation,and there had been no recurrence during the follow-up.CONCLUSIONSFollow-up and detailed examination should be strengthened after cataract surgery.If UGH occurred,the etiology should be removed as soon as possible,which could reduce the risk of other complications caused by the disease.The damage of UGH to the optic nerve was irreversible,while active surgical treatment could preserve effective visual acuity.

关 键 词：葡萄膜炎-青光眼-前房积血综合征 超声乳化白内障吸出术 人工晶状体 

分 类 号：R779.66[医药卫生—眼科]