目的:强调术后眼局部有效规律地应用抗生素和激素的混合眼液的重要性,降低早期后发性白内障的发生率。方法:观察由同一医生用相同耗材,行白内障囊外摘出118例118眼,其中,术后用氧氟沙星眼液加针剂地塞米松2.5mg、双氯芬酸钠眼液滴眼54例54眼(A组);术后用典必殊眼液、双氯芬酸钠眼液滴眼64例64眼(B组)。每日滴术眼,观察3～6mo。结果:早期后发性白内障发生率A组24%,B组6%。这些后发性白内障多数在术后2mo内发生。结论:术后早期局部有效而规律地使用抗生素和激素混合眼液能够减少早期后发性白内障的发生率。

AIM:To emphasize the importance of mixed eye drops (antibiotics and hormones),and to reduce the incidence of after-cataract. ·METHODS:Totally 118 patients 118 eyes underwent extracapsular cataract extraction,and divided into two groups randomly:ofloxacin eye drops and subconjunctiva injection with dexamethasone 2.5mg postoperatively(54 eyes,group A)and diclofenac sodium eye drops and tobramycin+dexamethasone eyedrops postoperatively (64 eyes,group B). This study was observed by the same doctor with the same supplies.The patients were followed up for 3 to 16months.·RESULTS:The incidence of after-cataract was 24% in group A,and 6% in group B,most of which occurred within 2 months postoperatively. ·CONCLUSION:The local application of antibiotics and hormones eye drops regularly can reduce the incidence of after-cataract postoperatively.

R779.66