幼年型特发性关节炎伴发葡萄膜炎并发性白内障手术进展

Surgical management of cataracts in children with juvenile idiopathic arthritis associated uveitis

幼年型特发性关节炎伴发葡萄膜炎是常见的幼儿葡萄膜炎类型。其中白内障是其最常见的并发症，对患儿视力造成严重威胁的同时也对家庭及社会造成严重危害。白内障手术术后一系列并发症（后发性白内障，虹膜后粘、青光眼、低眼压以及眼球萎缩）是导致幼年型特发性关节炎伴发葡萄膜炎患者白内障手术失败的重要原因。因此，疾病诊断、手术时机、围手术期炎症控制及手术方式的选择对幼年型特发性关节炎伴发葡萄膜炎患者行白内障手术的预后至关重要。

Juvenile idiopathic arthritis associated uveitis （JIAU） is one of the most common categories of pediatric uveitis. The cataract development is a most frequent complication in JIAU which will result in significant visual disability and cause damage to both family and society. Historically, the risk of secondary severe complications （posterior capsular opacification, extensive posterior synechiae, glaucoma, hypotony and phthisis bulbi） have played an important role in failure of JIAU-cataraets. Hence, various factors should be taken into consideration when deciding on surgical management of cataracts, including uveitis diagnosis, timing of surgery, control of perioperative inflammation and proper operative approaches. These above elements will contribute to improve cataract surgery outcomes in patients with JIAU.