摘要
葡萄膜炎白内障手术较单纯老年性白内障手术更具挑战性。葡萄膜炎白内障通常由慢性炎症或长期使用糖皮质激素所致,明确病因诊断、完善眼科检查、充分控制炎症和精细手术操作对获得视力改善相当重要。对严重的葡萄膜炎患者,控制炎症的关键是全身或局部糖皮质激素使用联合免疫抑制剂,免疫抑制剂可有助于充分控制眼内炎症,减少使用糖皮质激素的副作用。在活动性炎症完全控制3个月后行超声乳化白内障吸除联合人工晶状体植入术,绝大多数患者可获得视力改善。
Cataract surgery in patients with uveitis is more challenging than in senile cataract. Cataract in patients with uveitis is usually caused by either chronic inflammation or long-term corticosteroid treatment. Establishing etiological diagnosis, detailed eye examination, successful control of preoperative inflammation and meticulous operation are of considerable importance for achieving improvement of visual acuity. For some severe uveitic patients, the key factor for success in the long-term control of inflammation is the use of systemic immunosuppression with systemic or topical corticosteroids. Immunomosuppression agents can help to successfully control intraocular inflammation and reduce side effects of corticosteroid. Most uveitic patients without active inflammation for at least 3 months can achieve improvement of visual acuity after phacoemulsification and intraocular lens implantation.
出处
《眼科》
CAS
2011年第2期73-77,共5页
Ophthalmology in China
