人工晶体植入术后迟发性葡萄膜炎临床分析

目的 探讨白内障人工晶体术后迟发性葡萄膜炎发生的原因及治疗方法。方法 对9例白内障囊外摘出联合人工晶体植入术后迟发性葡萄膜炎患者的发病时间，诱因，临床表现及治疗进行了回顾性分析。结果 一般在术后20d左右发病，男女发病率大致相同，并发糖尿病，关节炎的白内障患者发病率最高，对皮质类固醇治疗敏感。结论 白内障人工晶体术后迟发性葡萄膜炎可能由免疫复合物介导的变态反应引起。可早期应用皮质类固醇治疗以预防严重并发症的产生。

CLINICAL ANALYSIS OF DELAYED UVEITIS AFTER INTRAOCUAR LENS IMPLANTATION

Objective To approach the etiology and the therapy of delayed uveitis after extracapsular cataract extraction with intraocular lens implantion. Methods The onset time,inducement,clinical manifestation,and therapy of 9 cases were retrospectively studied.Results The delayed uveitis usually attacked on the 20 days after operation .The incidence in female equal to male.Patients with diabetes ,arthritis had a higher incidence. Conclusion The patients with delayed uveitis after intraocular lens impantation may be an allergic reaction resulting from immune complex.