葡萄膜炎并发白内障乳化吸出人工晶状体植入

Phacoemulsification cataract extraction and posterior chamber lens implantation in patients with uveitis

目的 探讨晶状体超声乳化吸出联合人工晶状体植入术在葡萄膜炎并发白内障治疗中的应用。方法 对36例(44眼)葡萄膜炎并发白内障术后,观察其疗效及并发症。结果 所有患者术后视力均有不同程度的提高,其中27眼(61.36%)术后最佳矫正视力≥0.5。术中发生前房积血2眼(4.55%),后囊破裂1眼(2.27%);术后瞳孔均能维持圆形居中。术后并发症:早期角膜水肿14眼(31.82%);前房轻度炎症反应39眼(88.64%);1周后出现成形性前房渗出1眼(2.27%);后囊浑浊7眼(15.91%)。结论 超声乳化晶状体摘出联合人工晶状体植入术治疗葡萄膜炎并发白内障是安全有效的。

Objective This study reports outcomes of phacoemulsification cataract extraction and posterior chamber lens implantation in patients with uveits.Methods 36 patients (44 eyes)with uveitis complicated by cataract underwent phacoemulsification and posterior chamber lens implantation . Results The visual acuity was improved in all patients after operation,27 eyes (61.36%) attained final visual acuity better than or equal to 0.5.The complications included hyphema 2 eyes (4.55% ),posterior capsular rupture 1 eye (2.27%), corneal edema 14 eyes (31.82 % ) , posterior capsular opacity 7 eyes (15.91%). Conclusion Phacoemulsification cataract extraction and posterior chamber lens implantation is safe and effective in patients with uveitis.