碘剂对后发性白内障术后囊膜碎片吸收的疗效观察

Clinical analysis of the effect of oral lecithin-bound iodine after laser therapy on secondary cataract

目的评价激光治疗后发白内障同时应用口服碘剂-沃丽汀促进后囊膜碎片吸收的疗效。方法将自2004年1月至2005年3月将Nd∶YAG激光晶状体后囊膜切开术者96例116眼随机分为两组,其中43例52眼激光治疗后给予口服沃丽汀片剂,对照组53例64眼激光治疗后不给予沃丽汀口服。所有患者均在门诊治疗,给药后的7d、30d和60d分别复诊。治疗前后检查视力、矫正视力、眼压,裂隙灯显微镜检查眼前节及眼底检查。结果沃丽汀治疗组在术后2个月时,后囊膜碎片的混浊吸收程度（68.1%）明显优于对照组（51.2%）。结论研究显示,沃丽汀能加快后囊膜碎片在眼内的吸收。为白内障患者带来更好的术后视力。

Objective To observe posterior lens capsule pieces＇ assimilation after laser therapy with lecithin-bound iodine （Jolethin）on secondary cataract. Method 96 patients （ 116 eyes） treated by Nd：YAG laser insicion on posterior lens capsule from 2004.1 to 2005.3 were divided to 2 groups randomly, 43 patients （52 eyes） with Jolethin by oral and 53 patients （64 eyes） without Jolethin. Naked vision, corrected visual acuity, ocular tension, anterior segment and fundus were examined in all the samples before and after the treatment. Result The assimilation level of posterior lens capsule pieces was higher in with-Jolethin group （68.1%） than without-Jolethin group （51.2%） significantly 2 months after laser operation. Conclusion Jolethin develops the assimilation of the posterior lens capsule pieces, as it could result in better vision of cataract patients.