尿毒症血液透析患者白内障手术的临床研究

Clinical study of phacoemulsification and IOL implantation in uremic patient on hemodialysis

目的 探讨晶状体超声乳化吸出并人工晶状体植入术治疗尿毒症血液透析患者白内障的效果。方法 对 12例(18眼 )因尿毒症接受血液透析治疗的白内障施行白内障超声乳化吸出并人工晶状体植入术 ,随访 6～ 2 4月。结果 术后裸眼视力≥ 0 5者 15眼 ,占 83 3 3 % ,2眼术后有少量的前房积血及球结膜下出血。结论 低创伤性的超声乳化吸出并人工晶状体植入术是治疗尿毒症血液透析患者白内障的理想方法。采用透明角膜切口是为了防止术中、术后眼内出血。

Objective To observe the effect of phacoemulsi fication and IOL implantation in uremic patient on hemodialysis.Methods 12 cases(18 eyes) of hemodialysis patients with complic ated cataract received phacoemulsification and IOL implantation.All of cases wer e followed up for 6-24 months.Results Postoperatively,uncorrected visual acuity ≥0.5 in 15 eyes (83.33%),hyphema and subconjunctival hemorrhage in two eyes.Conclusion Phacoemulsification and IOL implantation is a minimally invasive treatment method for complicated cataract in uremic patient on hemodialysis. The corneal incision can reduce the accident of intraocular hemorrhage.