超声乳化吸除术治疗Fuchs综合征并发白内障的疗效

Outcomes of phacoemulsification in patients with Fuchs' heterochromic iridocyclitis

目的:探讨超声乳化吸除术治疗Fuchs综合征并发白内障的临床效果。方法:分析在我院行超声乳化吸除术的Fuchs综合征并发白内障患者18例18眼,术中观察并发症的情况,术前及术后测量视力、眼压、角膜内皮细胞密度,术后观察眼内炎症反应程度、并发症等情况。结果:平均随访时间为9.8±3.3mo。术中唯一的并发症为周边虹膜出血(17%)。最佳矫正视力(Log MAR)术前为0.98±0.85,术后6mo为0.08±0.14,差异具有统计学意义(P<0.001)。眼压术前为15.11±2.63mm Hg,术后有2眼一过性高眼压,术后6mo为14.94±2.49 mm Hg,与术前相比,差异无统计学意义(P>0.05)。术后角膜内皮细胞丢失率为10%±6%。术后2眼出现轻度的瞳孔区纤维素样渗出,1眼囊袋收缩综合征以及4眼后发性白内障。结论:超声乳化吸除术治疗Fuchs综合征并发白内障安全有效、并发症少。

AIM： To evaluate the phacoemulsification in patients iridocyclitis（ FHIC）. clinical outcomes of with Fuchs＇ heterochromic. METHODS： In this noncomparative case series ,18 eyes of 18 patients clinically diagnosed with FHIC and cataract were studied. All of them received phacoemulsification combined with intraocular lens implantation. Preoperative and postoperative visual acuity, intraocular pressure, corneal endothelial cells density were measured. Intraoperative and postoperative complications were evaluated. RESULTS： The mean follow-up period was 9.8±3.3mo. The only intraoperative complication was peripheral iris bleeding （17%）. Compared with preoperative, the best corrected visual acuity improved 6too postoperatively （0.98±0.85 vs 0.08±0.14, P〈0.001）. There was no significant difference in intraocular pressure between preoperative and postoperative （15. 11 ± 2. 63mmHg vs 14.94±2.49mmHg, P〉0.05）. The mean endothelial cells counting loss rate postoperatively was 10% - 6%. Fibrin formation in the anterior chamber occurred in 2 eyes postoperatively. During follow- up, 1 eye developed anterior capsule contraction, and 4 eyes developed posterior capsule opacification. CONCLUSION： Phacoemulsification is a safe procedure with good visual outcomes in patients with FHIC and cataract.