眼科手术引起的眼科炎症及其防治的临床观察

A Clinical Study of Delayed Intraocular Inflammation after Ophthalmologic Operation

目的通过陈述临床上遇到的白内障囊外摘出人工晶状体植入手术后发生术后炎症的病人情况,提高人们对白内障囊外摘出人工晶状体植入术后并发迟发性眼内炎症反应的认识。方法对32例术后眼内炎症病人进行门诊随访检查及药物治疗效果的观察。结果全部病人炎症均在1～2周内消退,人工晶状体前膜完全吸收,视力恢复到发病前的状态。治愈后未再复发。结论本病可能是由免疫复合物介导的变态反应。术后常规用药,避免劳累和早期过度用眼可降低其发生率。

Objective We stated the condition of patients with delayed intraocular inflammation induced by extracapsular cataract extraction and posterior chamber intraocular lens implantation. To make better understanding of delayed intraocular inflammation induced by extracapsular cataract extraction and posterior chamber intraocular lens implantation. Methods Anterior chamber reactions of 32cases with delayed intraocular inflammation were closely observed with slit lamp and were treated with steroid. The effect of the drug treatment was observed and the visual acuities were compared. Results All patients with delayed intraocular inflammation induced by extracapsular cataract extraction and posterior chamber intraocular lens implantation were cured in 1 - 2 weeks. And they all did not reoccur again. Conclusion The disease may be an allergic reaction resulting from immune complex. Therefore, routine administration and freedom of fatigue and early excessive use of eye may reduce its incidence.