白内障术后角膜上皮持续缺损发生机制

Occurrence mechanism of the corneal epithelial defect continuously after cataract surgery

目的:总结白内障术后角膜上皮持续缺损的常见原因及处理方法。方法:观察不同病例的处理方法及治疗效果。结果:大部分病例在停用激素及非甾体消炎药物后角膜上皮缓慢恢复,但个别严重病例恢复缓慢,且易反复,尤其是患有糖尿病的患者,稳定后遗留角膜斑翳影响视功能。结论:为有效预防术后角膜上皮缺损的发生,术前需完善相关检查,术后应及时、准确对症处理。

AIM：To summarize the common causes and treatment methods of the corneal epithelial defect continuously after cataract surgery.METHODS：The processing methods and therapeutic effects of different cases were observed.RESULTS：Corneal epithelial in most of the cases recovered slowly after stopping the deactivated hormone and nonsteroidal anti-inflammatory drugs,but some severe cases recovered more slower and easily repeated,especially those with diabetes,the visual function was affected by the remnant corneal macula even after the condition was stable.CONCLUSION：In order to effectively prevent the occurring of the postoperative corneal epithelial defect,preoperative relevant examinations,postoperative timely and accurate treatments are necessary.