Systematic review and case report on intraocular ointment after cataract surgery  

白内障术后眼药膏进入前房的病例报告及系统评价

作　　者：Mwale Paul Zheng Yan Chen Xiaomin Ke Min Mwale Paul;郑妍;陈晓敏;柯敏(武汉大学中南医院眼科,中国湖北省武汉市430071)

机构地区：[1]Department of Ophthalmology,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei Province,China

出　　处：《国际眼科杂志》2025年第3期344-350,共7页International Eye Science

摘　　要：Intraocular ointment is conventionally placed on the eye to prevent infection after cataract surgery.The purpose of this study is to report a case and conduct a systematic review of a rare occurrence of the entry of intraocular ointment after cataract surgery.PubMed,Scopus,Embase,CNKI,WANFANG data,China Science and Technology Journal Database and Chinese Medical Journal Full-text Database were systematically searched from their commencement to 30 th October 2023,and 19 literatures were screened out and 31 cases of intraocular ointment after surgery were collected.Among the 31 patients,the age of presentation ranged from 55 to 87 years with a median of 73,males accounted for 45.2%and females accounted for 32.3%.The length of the incision was generally 3.2 mm.Most of the patients detected ointment within 3 days post-operation and presented without complications(45.2%).The most common ocular manifestations were corneal edema,glaucoma and uveitis.Early postoperative follow-up is very important.Presence of anterior chamber ointment is a rare complication after cataract surgery,but it can lead to severe vision loss if not detected and treated on time.When patients complain of foreign body sensation in the in the eye after cataract surgery,ophthalmologists need to take a kin interest and examine the eye for early detection of ointment for appropriate intervention and prevent further complications.眼药膏通常用于预防白内障术后感染。本研究旨在报告一例白内障术后眼药膏进入前房的罕见病例并进行系统综述。检索PubMed、Scopus、Embase、CNKI、万方数据库、中国科技期刊数据库和中国医学期刊全文数据库,检索时间自建库至2023-10-30,共收集19篇文献31例术后使用眼药膏并进入前房的病例。31例患者年龄范围为55至87岁,中位数为73岁,男性占45.2%,女性占32.3%。切口长度普遍为3.2毫米。大多数患者在术后3 d内检测到眼药膏,无并发症(45.2%)。最常见的眼部症状为角膜水肿和葡萄膜炎。术后早期随访非常重要。前房积液是白内障手术后罕见的并发症,但如果不及时发现和治疗,可能会导致严重的视力丧失。当患者主诉白内障术后眼内有异物感时,眼科医生需要密切关注并检查眼睛,以便尽早发现积液,进行适当的干预并防止进一步的并发症。

关 键 词：intraocular ointment cataract surgery toxic anterior segment syndrome corneal decompensation cystoid macular edema anterior chamber 

分 类 号：R73[医药卫生—肿瘤]