葡萄膜炎并发白内障的手术治疗

Surgery treatment of uveitis complicated cataract

摘要:

目的:探讨葡萄膜炎并发白内障施行超声乳化吸除人工晶状体植入治疗的临床效果。方法:对19例21眼稳定的葡萄膜炎并发白内障患者行超声乳化吸除晶状体植入术,术中根据虹膜粘连的程度和范围,分别采用不同的方法处理粘连虹膜及小瞳孔。结果:患者19例21眼术后19眼视力改善,总有效率90%,其中术后视力≥0.3者15眼(71%)。术后无严重并发症发生,无葡萄膜炎加重。结论:超声乳化吸除人工晶状体植入术是治疗葡萄膜炎并发白内障的有效方法。术前控制炎症稳定3mo,术中掌握处理虹膜粘连及小瞳孔的要点,慎重操作,可减少术后并发症,改善患者视功能。

Abstract:

AIM:To evaluate clinical effect of phacoemulsification with intraocular lens on uveitis complicated cataract.METHODS:Nineteen cases(21 eyes) with uveitis complicated cataract were treated by phacoemulsification with implantation of intraocular lens.According to level and scope of synechia of iris in operation,different ways were used to treat synechia of iris and microcoria.RESULTS:Nineteen eyes(90%) visual acuity were improved.The postoperative visual acuity was ≥0.1 in 17 eyes(81%),≥0.3 in 15 eyes(71%).There were no serious complications and no aggravation of old uveitis.CONCLUSION:The method of phacoemulsification with intraocular lens implantation is obviously effective in the treatment of uveitis complicated cataract.Preoperative control of uveitis for 3 months and dealing with synechia of iris and microcoria during operation can help reduce complications and improve visual acuity.