人工晶体前膜的药物治疗

Drug Therapy for the Anterior Membrane of Intraocular Lens

目的 评价人工晶体前膜形成的药物治疗效果。方法 对２４ 例前膜形成的病例给予全身加大地塞米松用量（ １０ ～１５ｍｇ） ； 球结膜下注射庆大霉素２ 万ｕ ， 地塞米松２ｍｇ ，５ － 氟尿嘧啶１２ ．５ｍｇ ； 同时应用托比卡胺扩瞳等治疗。结果 ２３ 例前膜在１ 周内吸收， 仅１ 例糖尿病患者因激素用量受限未能吸收而用激光切膜。２４ 例矫正视力均在０ ．６ 以上。结论 认为人工晶体前膜经及时、适当的药物治疗， 多能获得满意效果。

Objective To evaluate the drug therapeutic effect of the anterior membrane of intraocular lens.Methods 24 patients with the anterior membrane were given large amount of dexamethasone(10～15mg),and were administered subconjunctival injection with gentamicin(20,000 u),dexamethasone(2mg) and 5-fluorourocil(12.5mg).Meanwhile,the treatment of the tropicanide dilating the pupil was applied.Results The absorbtion of 23 patients' anterior membrane occurred in one week after the treatment except a diabetic's because of the limited amount of hormone for the patient.The patient was administered the operation of being cut by laser.24 patients' corrected vision were all above 0.6.Conclusion The satisfied effect can be mostly gained if the patient with the anterior membrane was given proper drug treatment in time.