葡萄膜炎并发白内障的超声乳化术疗效观察

摘要

目的寻求一种对葡萄膜炎伴粘连性小瞳孔白内障的摘出更有效的手术方法。方法对62例(68只眼)小瞳孔白内障患者施行超声乳化联合人工晶状体植入术，随访3～12个月。结果术后68只眼瞳孔基本圆，94.1%的患者视力有不同程度的改善，随访3个月以上的61只眼中，52只眼视力＞0.5。术中后囊破裂4例，术后角膜水肿23例，瞳孔纤维渗出膜4例。结论粘连性小瞳孔白内障采用超声乳化吸出术，能获得良好的视力和圆瞳孔，能减轻对虹膜的刺激、损伤，减少术中、术后并发症。%ObjectiveTo evaluate the safety and efficacy of phacoemulsification for uveitic cataract．Methods68 consecutive eyes of 62 patients with various causes of uveitis received posterior chamber intraocular lens implantation following scleral tunnel incision and phacoemulsification for visually disabling cataract．The safety and efficacy of operation were studied prospectively．ResultVisual acuity was improved in 94.1％ in a few days after surgery and the final visual acuity was 0.5 or better in 52 eyes．Intraoperative complication was a posterior capsular break（4 eyes）．Postoperative complications were minimal corneal edema（23 eyes），fibrinous pupillary membrane（4 eyes）．ConclusionPhacoemulsification can be carried out in patients with visually disabling uveitic cataract．