探讨白内障摘除术后迟发性虹膜睫状体炎的发生机制

The pathogenesis and treatment of tardive iridocylitis after cataract surgery

目的探讨白内障摘除联合人工晶状体植入术后迟发性虹膜睫状体炎的发生机制和治疗。方法观察812例白内障患者，所有患者均采用小切口白内障摘除联合人工晶状体植入术，术中用人工晶状体、粘弹剂为同一厂家。结果32例于术后10～35d发生前葡萄膜炎和玻璃体炎，给予散瞳、糖皮质激素药物应用等治疗后，多数患者愈后良好。结论迟发性虹膜睫状体炎的发生机制可能和下列因素相关：1．残留的晶体皮质；2．人工晶状体；3．手术相关“异物”残留。

Objective To study the pathogenesis and the treatment effects of tardive iridocylitis after cataract surgery with IOL implantation. Methods Observed 812 cases after cataract surgery, the IOL and ophthalmic hydroxypropyl methylcelluose （ UV - Gel） of all cases were provided by the same manufacturer. Results 32 cases occurred uveitis by 10 -25 days. We dealed all cases with enlarging pupil and appling medication. The treatment effects of mostly patitions were good. Conclusion The pathogenesis of cunctative uveitis may be survivals of lens, IOL, impurity of surgery.