晶状体乳化术后低视力荧光素眼底血管造影分析  

Fundus fluorescence angiography for low vision patients after pha-coemulsification.

作　　者：马丽华[1] 

机构地区：[1]广西柳州市眼科医院,545001

出　　处：《眼外伤职业眼病杂志》2003年第5期314-315,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 分析晶状体超声乳化术后低视力的原因。方法 对超声乳化术后裸眼视力或矫正视力未达0.5,眼前段正常者30例进行荧光素眼底血管造影检查,并分析造影结果。结果 30例中玻璃体浑浊2例,占6.7%;糖尿病性视网膜病变9例占30％;高度近视眼底改变7眼;黄斑水肿3眼;老年性黄斑变性3眼;视网膜色素变性1眼;视神经萎缩1眼;外伤性黄斑损害4眼。结论 术前以各种手段尽可能详查眼底改变有助于判断视力预后,部分患者术后视力仍难进行临床估计。值得注意的是糖尿病视网膜病变程度与糖尿病黄斑病变发展不完全同步,不能根据其血糖高低或病期长短估计术后视力。外伤性白内障伴黄斑区损害者术后视力不佳。Objective To analysis the causes of low vision after pha-coemul-sification.Methods Fundus fluorescence angiography(FFA) was done and analyzed in 30 patients (30 eyes) whose corrected visual acuity was low than 0.5 and anterior segment was normal.Results In the 30 eyes, FFA showed vitreous opacity in 2 eyes(6.7%), diabetic retinopathy in 9 eyes (30 %), high myopic maculopathy in 7 eyes, macular edema in 3 eyes,age-related macular degeneration in 3 eyes,RP in 1 eye,optic nerve atrophy in 1 eye and traumatic macufopathy in 4 eyes. Conclusion Maculopathy result from diabetes, high myopia, AMD, and ocular trauma were the mian causes of low vision after phacoemulsification.

关 键 词：晶状体乳化术 低视力 荧光素眼底血管造影 超声乳化术 裸眼视力 

分 类 号：R779.66[医药卫生—眼科]