白内障超声乳化吸出术后缺血性眼病的临床研究

发布时间：2018-06-22 13:05

本文选题：白内障 + 超声乳化　；参考：《眼科新进展》2017年02期

【摘要】：目的探讨白内障超声乳化吸出术后发生缺血性眼病原因及治疗。方法回顾性分析3000例不同类型的白内障及人工晶状体植入的患者,行白内障超声乳化吸出术后共13例患者发生缺血性眼病。缺血性视神经病变8例,包括年龄相关性白内障7例,晶状体脱位1例;视网膜中央动脉阻塞5例,包括年龄相关性白内障1例,先天性白内障2例,外伤性白内障2例。患者分别行眼底、视野、眼底血管造影检查确诊后,予以扩张血管、营养神经及对症治疗。结果 8例缺血性视神经病变患者治疗后有6例视力均有不同程度的提高,5例视网膜中央动脉阻塞患者治疗后2例视力提高,3例视力未恢复。结论由白内障超声乳化手术引起的缺血性眼病,主要与患者本身存有血管性疾病和手术过程中引起视神经缺血、缺氧有关;如及早发现,尽早治疗,视力可有不同程度的提高。
[Abstract]:Objective to investigate the cause and treatment of ischemic ophthalmopathy after phacoemulsification. Methods 3000 patients with different types of cataract and intraocular lens implantation were retrospectively analyzed. 13 patients developed ischemic ophthalmopathy after phacoemulsification. There were 8 cases of ischemic optic neuropathy, including 7 cases of age-related cataract, 1 case of lens dislocation, 5 cases of central retinal artery occlusion, including 1 case of age-related cataract, 2 cases of congenital cataract and 2 cases of traumatic cataract. The patients were diagnosed by fundus, visual field and fundus angiography, and were treated with vasodilator, nutritional nerve and symptomatic treatment. Results the visual acuity of 6 patients with ischemic optic neuropathy was improved in 5 patients with central retinal artery occlusion. The visual acuity of 2 patients with central retinal artery occlusion was improved in 3 patients. Conclusion Ischemic ophthalmopathy caused by phacoemulsification is mainly related to vascular diseases and optic nerve ischemia and anoxia during the operation.
【作者单位】：郑州市第二人民医院眼科;
【分类号】：R779.6

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