Fuchs′综合征患者超声乳化白内障吸出术的临床观察

目的：讨论Fuchs′综合征患者行超声乳化白内障吸出术的安全性和有效性。 方法：对我院5000余例白内障患者中13例Fuchs′综合征患者行超声乳化白内障吸出术,观察术中术后并发症及视力恢复情况。 结果：术中常见并发症为瞳孔缩小和前房出血;术后并发症有青光眼、前房积血。最好矫正视力≥1.0者占65％。 结论：超声乳化白内障吸出术对Fuchs′综合症并发白内障是一种安全而有效的治疗方法。眼科学报 2000;16:97-98。     

Fuchsˊ综合征患者超声乳化白内障吸出术的临床观察

目的:讨论Fuchs'综合征患者行超声乳化白内障吸出术的安全性和有效性。方法:对我院5000余例白内障患者中13例Fuchs'综合征患者行超声乳化白内障吸出术,观察术中术后并发症及视力恢复情况。结果:术中常见并发症为瞳孔缩小和前房出血;术后并发症有青光眼、前房积血。最好矫正视力≥1.0者占65％。结论:超声乳化白内障吸出术对Fuchs'综合症并发白内障是一种安全而有效的治疗方法。眼科学报2000;16:97-98。     

Fuchs综合征并发白内障人工晶体植入的探讨

Ｆｕｃｈｓ综合征并发白内障人工晶体植入的探讨济南市中心医院眼科张素英，董秀琴，夏文清Ｆｕｃｈｉ’综合征并发白内障行人工晶体植入，欧美国家报导较多．国内一般行ＥＣＣＥ，认为植入人工晶体可引起角膜混浊、前房出血。术后．色素膜炎加重、继发青光眼等。故不主张...     

Fuchs综合征白内障手术及术后并发症

目的回顾性分析Ｆｕｃｈｓ综合征白内障囊外摘除术和植入或不植入人工晶体术中,术后并发症及术后视力、方法１５例Ｆｕｃｈｓ综合征并发性白内障中,９例囊外摘除术后植入人工晶体,６例未植入人工晶体。结果５例病例术中发生一过性前房出血,３例术后纤维性色素膜炎,经过局部及全身激素治疗均恢复正常。术后视力达到０．５以上的为４０％,影响视力的主要原因是玻璃体混浊和视神经萎缩。结论对于Ｆｕｃｈｓ综合征的白内障手术植入与不植入人工晶体都比较安全。合理应用激素,注意观察术前和术后眼压,可以减少并发症的发生。     

Fuchs综合征并白内障的人工晶状体植入

目的 评价Ｆｕｃｈｓ综合征工发白内障的手术方法。方法 对１１例Ｆｕｃｈｓ综合征并发白内障患者行白内障囊外摘出（ＥＣＣＥ）联合人工晶体状体（ＩＯＬ）植入术。结果 １１例患者白内障囊外摘出联合人工晶状体植入术后无严重手术并发症,不同程度葡萄膜炎易被控制,无眼压增高,术后平均随访１８ｍｏ,矫正视力０．４～１．２,０．５以上占８１．８％。结论 Ｆｕｃｈｓ综合征并发白内障的人工晶状体植入手术安全、疗效好。     

糖尿病患者白内障超声乳化人工晶状体植入术的临床观察

目的：观察糖尿病患者白内障超声乳化吸出联合人工晶状体植入术的临床疗效。方法：选择36例(36眼)糖尿病患者行白内障超声乳化吸出联合人工晶状体植入术，并设36例(36眼)老年性白内障患者行白内障超声乳化吸出联合人工晶状体植入术为对照。结果：糖尿病患者白内障术后角膜内皮水肿、房水混浊、纤维素样渗出、瞳孔后粘连、后囊混浊等前段手术并发症发生率高于老年性白内障，但经过正确处理，总体预后两组并无显著性差异。结论：糖尿病患者空腹血糖控制在8．33mmoL／L以下时，行白内障超声乳化吸出联合人工晶状体植入是安全的：术中尽量减少器械在前房的操作次数，减少对角膜内皮和虹膜的损伤，能有效减少术后并发症的发生；术后使用激素眼药水滴眼，有效活动瞳孔，是治疗糖尿病患者白内障人工晶状体植入术后并发症的有效措施。     

超声乳化白内障吸出术中前房形成困难的处理和原因分析

目的：探讨白内障超声乳化吸出术中前房形成困难和持续汪前房的术中处理方法并分析其发生原因。方法：对我院1500例（眼）超声乳化白内障吸出术患者中11例出现高眼压、浅前房的患者经过高渗剂降压、升高液压、减低吸力和流速等处理,眼压降低、前房重建后完成超声乳化白内障吸出术。结果：11例患者中,10例经过上述处理后眼压下降、前房形成。1例经上述处理仍不能形成前房,经平坦部行前段玻璃体切割后前房形成。11例均可完成超声乳化术。术后视力大于或等于0．7者4例,0．3－0．5者5例,0．05者1例,手动／眼前30cm者1例。结论：房水逆流、球后出血、脉络膜腔出血是超声乳化白内障吸出术中出现前房形成困难的常见原因。大多数患者经药物处理后可重建前房,完成手术。药物处理无效时,经平坦部行前段玻璃体切割是一种有效的方法。     

白内障超声乳化联合房角分离术治疗闭角型青光眼

目的：分析白内障超声乳化吸出+人工晶状体植入联合房角分离术治疗闭角型青光眼的临床效果。

方法：回顾性分析合并有白内障的闭角型青光眼患者,且房角关闭粘连范围≤180°的患者46例56眼,行白内障超声乳化吸出+人工晶状体植入联合房角分离手术,观察分析术前和术后眼压、视力、前房深度、前房角的变化。

结果：术后眼压全部控制在21mmHg(1mmHg=0.133kPa)以下,最佳矫正视力均有不同程度的提高,前房深度明显增加,房角均有不同程度开放。术中、术后无严重手术并发症。术前和术后眼压、前房深度、最佳矫正视力差异有统计学意义(P<0.05)。

结论：选择对合适的闭角型青光眼合并白内障的患者施行白内障超声乳化联合房角分离手术能够获得满意的临床效果。     

糖尿病患者白内障超声乳化吸出人工晶状体植入疗效分析

目的:探讨糖尿病患者白内障超声乳化吸出(phaco)及人工晶状体(IOL)植入的手术效果。方法:对46例(56眼)糖尿病患者行白内障超声乳化吸出人工晶状体植入术,观察术中、术后并发症及术后视力的情况。结果:术后视力≥0.5者46眼(82.1%),术后并发症:角膜内皮水肿、前房纤维渗出、人工晶状体表面色素沉着、后囊膜混浊,与同期非糖尿病患者比较差异无显著性。结论:对于糖尿病患者只要术前血糖控制在相对稳定的水平上进行白内障超声乳化吸出及人工晶状体植入术疗效是安全有效的,术后并发症少,视力恢复好。     

Fuchs综合征白内障的手术治疗七例报道

报道７例Ｆｕｃｈｓ综合征患者白内障的手术治疗，其中５例行人工晶体植入术，２例行白内障囊外摘降术，术后视力均高于４．７，术后并发症包括：术后暂时性眼压升高，一过性轻度前部葡萄膜炎，１例发生了迟发性前部葡萄膜炎。     

葡萄膜炎并发白内障的手术效果分析

目的：分析葡萄膜炎并发性白内障的手术效果。方法：对29例31眼葡萄膜炎并发性白内障患者施行超声乳化白内障摘出术,其中虹膜睫状体炎14眼,Fuchs异色性虹膜睫状炎7眼,中间葡萄膜炎7眼,Vogt-小柳－原田综合征2眼,交感性眼炎1眼。随访5－28mo,平均15mo并进行回顾性分析。结果：术后矫正视力≥0．5者占80％,眼眼（Vogt-小柳－原田综合征）术后出现较严重的前部葡萄膜炎症,1眼（虹膜睫状体炎）见IOL表纤维素性渗出膜,2眼）中间葡萄膜炎）IOL表面见片状白色破碎屑,结论：采用对眼组织损伤较小的超声乳化技术,术中避免刺激虹膜,尽量清除晶状体皮质,并将IOL植入囊袋,内,对于在炎症相对静止期的葡萄膜炎,同样可获得较轻的术后炎症反应、较少的并发症和较好的视力。     

Cataract surgery in patients with Fuchs' heterochromic iridocyclitis.

PURPOSE: To evaluate the results of cataract extraction and posterior chamber intraocular lens (IOL) implantation in patients with Fuchs' heterochromic iridocyclitis (FHI). METHODS: We studied the records of 35 patients with FHI who underwent cataract extraction. Extracapsular cataract extraction (ECCE) was performed by phacoemulsification through a scleral flap in 9 patients and by manual delivery of the nucleus through a corneal section in 26 patients. RESULTS: After a mean follow-up time of 24 (3-60) months, the visual acuity in 21 eyes (60%) was 20/20, and all eyes had 20/40 or better vision. Six eyes with implanted regular PMMA IOL developed a marked anterior uveitis, which was resolved within 3 weeks with topical steroids. Only 1+ or 2+ cellular reaction was observed postoperatively in patients with heparin-coated lens implantation and patients who underwent phacoemulsification. Biomicroscopic evidence of giant cell activity was observed in two patients with heparin-coated IOL and in 11 with regular PMMA IOLs after ECCE (two after phacoemulsification). Four eyes developed intraocular pressure elevation that reverts to normal within 24 weeks with medical therapy. CONCLUSIONS: These results indicate that the surgical outcomes of FHI patients after cataract surgery appear to be better when the phacoemulsification technique is used or when heparin-coated lenses are implanted.     

Fuchs异色性虹膜睫状体炎白内障手术的疗效分析

目的：评估Ｆｕｃｈｓ异色性虹膜睫状体炎（ＦＨＩＣ）患者白内障囊外摘除术以及人工晶体（ＩＯＬ）植入术后的产７及并发症。方法：３２例ＦＨＩＣ患者行白内障手术，其中１７例植入后房型人工晶体（ＰＣＩＯＬ），另１５例患者行单纯的白内障囊外摘除术。结果：矫正视力在０．５及以上的患者中，ＩＯＬ组１４只眼（８８％），而无晶体眼１２只眼（８０％）。术 症为虹膜出血１２只眼，瞳孔不能散大６只眼，悬韧带离断、玻璃体脱出     

Chikungunya virus iridocyclitis in Fuchs' heterochromic iridocyclitis

We are reporting a case of bilateral Fuchs' heterochromic iridocyclitis with chikungunya virus infection in the left eye. A 20-year-old female was presented with a past history of fever suggestive of chikungunya with bilateral Fuchs' heterochromic iridocyclitis and complicated cataract. She had a tripod dendritic pattern of keratic precipitates by confocal microscopy in the left eye with a stippled pattern of keratic precipitates in both eyes. The real-time polymerase chain reaction (RT-PCR) assay in the aqueous humor detected 98 copies/ml of chikungunya virus RNA. The patient underwent clear corneal phacoemulsification with in-the-bag intraocular lens implantation in the left eye with a good visual outcome. This is the first report where the presence of chikungunya virus RNA has been associated with a case of bilateral Fuchs' heterochromic iridocyclitis.     

Outcomes of phacoemulsification and in-the-bag intraocular lens implantation in Fuchs' heterochromic iridocyclitis

PURPOSE: To evaluate the visual outcomes and complications of phacoemulsification (PE) and posterior chamber intraocular lens implantation, (PC IOL) in patients with Fuchs heterochromic iridocyclitis (FHIC). SETTING: Private clinic and an academic hospital. METHODS: In this noncomparative interventional case series, existing data for 41 eyes of 40 consecutive patients clinically diagnosed with FHIC and cataract were studied retrospectively. Scleral tunnel PE and in-the-bag IOL implantation were performed in all cases. Preoperative and postoperative visual acuities and intraoperative and postoperative complications were evaluated. RESULTS: Twenty-four male and 16 female patients aged 12 years to 70 (SD) (mean 35 +/- 12 years) were operated on and followed for 17.8 +/- 8.7 months. Preoperatively, best corrected visual acuity (BCVA) was less than 20/40 in all patients, which improved to 20/40 or better after surgery. Twenty-two eyes (53.6%) achieved BCVA of 20/20. The major cause of postoperative visual acuity less than 20/20 was vitreous haze. There were no major intraoperative complications. Postoperatively, mild anterior chamber fibrin reaction occurred in 4 patients (9.7%), IOL deposits occurred in 11 eyes (26.8%), and decentration was observed in 1 eye. During follow-up, 6 eyes (14.6%) developed posterior capsule opacification requiring a neodymium:YAG (Nd:YAG) laser capsulotomy. There was 1 case of clinical cystoid macular edema that resolved with medication. There were no cases of posterior synechias, postoperative glaucoma, or retinal detachment. CONCLUSION: Phacoemulsification with PC IOL implantation is a safe procedure with good visual outcomes in patients with FHIC and cataract.     

超声乳化吸除术治疗Fuchs综合征并发白内障的疗效

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(LogMAR)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±2.63mmHg,术后有2眼一过性高眼压,术后6mo为14.94±2.49mmHg,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.     

改良隧道切口非超声乳化白内障摘除联合折叠晶状体植入术临床应用观察

目的:观察改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术的临床效果和特点。方法:118例白内障患者的118只眼,随机分为2组:超声乳化白内障吸除联合折叠人工晶状体植入术手术组58只眼与改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术组60只眼。对比观察两种术式并发症及术后视力。结果:改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术与超声乳化白内障吸除术联合折叠人工晶状体植入术在白内障手术中的并发症、近远期术后视力比较,差异均无统计学意义,而改良隧道切口非超声乳化白内障摘除术的手术成本低于超声乳化白内障吸除术,且学习曲线短。结论:改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术适合在基层医院的白内障治疗中推广。眼科学报2007;23:247-251.     

高度近视白内障超声乳化摘除及负低度数后房型人工晶状体植入术疗效观察

目的:研究超声乳化联合植入负低度数后房型人工晶状体治疗高度近视眼合并白内障的临床效果。方法:对试验组80例100眼高度近视并发白内障实行巩膜隧道切口超声乳化吸除,同时通过5.5mm切口植入PMMA硬性人工晶状体。其中男45例56眼,女35例44眼,年龄44～76(平均61)岁;眼轴长为27.00～35.42(平均30.55)mm。取同期来我院治疗的94例100眼正常眼轴老年性白内障患者作为对照组。观察术中、术后并发症及手术效果。术后随访3～12mo。结果:试验组术后3mo矫正视力≥0.5者为51眼(51.0%),0.1～者43眼(43.0%),<0.1者6眼(6.0%)。术中并发症:后囊膜破裂2眼;晶状体脱位2眼。术后并发症:角膜水肿9眼;视网膜脱离1眼;后发性白内障2眼。对照组术中并发症:晶状体脱位1眼。术后并发症:角膜水肿4眼;后发性白内障2眼。结论:巩膜隧道切口超声乳化联合硬质后房型人工晶状体植入术治疗高度近视并发白内障,具有视力恢复快、屈光状态稳定等优点,是安全有效的方法。     

轴性高度近视白内障超声乳化与负度数人工晶体植入术

目的：探讨轴性近视并发白内障超声乳化摘除与负度数人工晶体植入术的临床疗效。方法：22例（38眼）眼轴长31．5－34．5mm,局麻或表麻下行颞侧透明角膜隧道切口的白内障超声乳化摘除术,植入－1D－－8D人工晶体,观察术中、术后并发症及术后视力。结果：术后矫正视力大于0．3者16眼（42．11％）;矫正视力大于0．5者12眼（31．58％）。术中2眼发生后囊膜破裂,其中一眼伴脉络膜上腔出血。术后14眼（36．84％）发生后发性白内障,仅4眼需行Nd:YAG激光切开术。术后无视网膜并发症。结论：轴性高度近视白内障超声乳化摘除与负度数人工晶体植入术,可以减少病人术后残余的屈光不正,防止视网膜并发症。