葡萄膜炎并发白内障行超声乳化人工晶状体植入术

The phacoemulsification and intraocular lens implantation on patients of cataract complicated with uveitis

目的研究葡萄膜炎并发白内障行超声乳化联合人工晶状体植入术的效果。方法回顾性分析我科2005年1月至2011年12月葡萄膜炎并发白内障68例（82眼）行超声乳化联合后房人工晶状体植入术，术后随访6—36个月，观察患者的视力及其并发症。结果视力提高76眼（92．7％），术后1周，矫正视力≥0．6者48眼（58．5％），0．3～0．5者22眼（26．8％），0．1～0．2者8眼（9．8％），〈0．1者4眼（4．9％），术后后囊浑浊21眼（25．6％），葡萄膜炎复发9眼（10．9％），黄斑水肿6眼（7．3％）。结论葡萄膜炎并发白内障行超声乳化联合人工晶状体植入术可获得较好的视力。

Objective To evaluate the efficacy of phacoemulsification and intraocular lens implan- tation on patients of cataract complicated with uveitis. Methods 68 cases （ 82 eyes） with cataract compli- cated with uveitis who had phacoemulsifcation and intraocular lens implantation from January 2005 to Decem- ber 2011 were reviewed retrospectively. The postoperative visual outcomes and complications were analyzed. The follow-up time was 6 -36 months. Results Best-corrected visual acuity（BCVA） was improved in 76 eyes （92.7%）. At 1 week postoperative, the corrected visual acuity was equal to or better than 0.6 in 48 eyes （58.5%）,0.3-0.5 in 22 eyes （26.8%）, 0.1 -0.2 in8 eyes （9.8%）, less than0.1 in4 eyes （4.9%）. Complications were posterior capsular opacification in 21 eyes （25.6%）, recurrence of uveitis in 9 eyes （ 10.9% ） , and macular edema in 6 eyes（7.3% ）. Conclusion The phacoemulsification and intraoc- ular lens implantation on patients of cataract complicated with uveitis can obtain good visual acuity.