康宁克通A治疗白内障术后迟发型急性前葡萄膜炎的临床观察

The clinical observation of triamcinolone acetonide treatment of later anterior uveitis after cataract surgery

目的 :报告康宁克通A眼周注射 ,治疗白内障超声乳化吸出联合硅胶折叠式人工晶体植入术后 ,并发迟发型前葡萄膜炎的临床疗效总结和病机探讨。方法 :对 2 8例 ( 2 8眼 )患者发病早期 ,给予本药 2 0mg球结膜下或后Tenon囊下注射一次。结果 :给药后 1～ 2d炎症迅速控制 ,平均观察时间 2 0 .1 4d ,视力恢复≥ 0 .51 0例 ,达发病前水平 ,无加重或复发病例。结论 :白内障术后并发前葡萄膜炎的可能病机为晶体蛋白诱发和人工晶体材料过敏 ;应用康宁克通A眼周注射治疗 ,具有疗效好 ,药效作用时间长 ,无需重复使用 ,副作用少的优点。

OBJECTIVE:To observe the clinical effect of later anterior uveitis post phacoemulsification with triamcinolone acetonide periocular injection and discuss disease mechanism.METHOD:28 cases(28 eyes) were injected 20mg triamcinolne acetonide at subconjuctival or posterior Tenon cyst.RESULTS:The uveitis were controlled after treatment 1～2 days,mean follow up 20.14 days.Vision≥0.5 10cases.CONCLUSION:The mechanism may be hypersensitive reaction for lens protein and IOL,the treatment is better.