小切口囊外摘除术治疗葡萄膜炎并发粘连性小瞳孔白内障的效果

发布时间：2018-03-18 06:10

本文选题：葡萄膜炎　切入点：粘连性小瞳孔　出处：《广东医学》2014年22期 　论文类型：期刊论文

【摘要】：目的探讨小切口囊外摘除术治疗葡萄膜炎并发粘连性小瞳孔白内障的效果。方法对92例(98眼)葡萄膜炎并发粘连性小瞳孔白内障患者采用小切口白内障囊外摘除术,7例(7眼)对侧眼已失明的单眼患者均未植入人工晶状体,术后积极抗炎治疗,并观察术后视力、瞳孔及并发症等情况。结果 98眼中93眼视力均有提高,5眼视力无恢复,术后视力(矫正后末次随诊视力)恢复情况:51眼(52.0%)0.3,32眼(32.7%)0.12~0.3,12眼(12.2%)0.02~0.1,3眼(3.1%)0.02。术后瞳孔均保持圆形或近圆形,18眼(18.4%)瞳孔缘与植入的人工晶状体局部小粘连。并发症:前房及人工晶状体表面有少量纤维素性渗出15眼(15.4%),眼压偏高7眼(7.1%),角膜后弹力层皱褶或角膜水肿13眼(13.2%),少许前房积血11眼(11.2%),后囊膜混浊23眼(23.5%)。结论葡萄膜炎并发粘连性小瞳孔白内障行小切口囊外摘除术,手术效果良好。该手术对设备要求不高,患者手术费用相对廉价,在基层医院或对于相对较贫困的患者,值得临床推广使用。
[Abstract]:Objective to investigate the effect of small incision extracapsular extraction in the treatment of uveitis complicated with adhesive small pupillary cataract. Methods 92 cases (98 eyes) of uveitis complicated with adhesive small pupil cataract were treated with small incision extracapsular cataract extraction. No intraocular lens was implanted in all the patients who had been blind on the contralateral side. The postoperative visual acuity, pupil and complications were observed. Results the visual acuity was improved in 93 eyes of 98 eyes and no recovery was found in 5 eyes. Recovery of postoperative visual acuity (visual acuity after correction): 51 eyes (52.0 eyes) and 0.32 eyes (32.732 eyes) with 0.12 eyes with 0.32 eyes with 0.12 eyes with 0.32 eyes with 0.12 eyes with 0.32 eyes with 0.32 eyes with 0.12 eyes with 0.32 eyes with 0.12% 0.32 eyes with 0.32 eyes with 0.12% 0.32 eyes (corrected last follow-up visual acuity after correction) recovery of postoperative visual acuity (corrected last time). Pupil margin and small adhesion of implanted intraocular lens were observed in all eyes. Complications: anterior chamber and human eyes: anterior chamber and human eyes: anterior chamber and human beings: anterior chamber and human eyes. A small amount of cellulose exudation was found on the surface of the intraocular lens in 15 eyes (15.4m), intraocular pressure was higher in 7 eyes (7.1%), posterior corneal elastic layer fold (13 eyes) or corneal edema (13 eyes), hyphema in 11 eyes (11.2D), posterior capsule opacification (23 eyes) (23.5B). Conclusion Uveitis complicated with less adhesion. Small incision extracapsular extraction of pupil cataract, The result of operation is good. The operation requires little equipment and the cost of operation is relatively cheap. It is worth popularizing in the basic hospital or for the relatively poor patients.
【作者单位】：江西省萍乡市人民医院眼科;
【分类号】：R779.66

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