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

Cataract surgery in Fuchs's iridocyclitis

To evaluate the effects and complications of extracapsular cataract(ECCE)with and without intraocular lens(IOL)implantation in Fuchs heterochromic iridocyclitis(FHIC).The records of 32 patients with FHIC who had undergone ECCE were reviewed.Of a total 32 eyes,a posterior chamber IOL(PC IOL)was implanted in 17 eyes,whereas others did not receive an implant.The corrected visual acuity better than 0 5 in the pseudophakic group is 14 eyes(88%) and 12eyes(80%)in aphakic group.Intraoperative complications included iris hemorrahage in 12 eyes,poor pupillary dilatation in 6 eyes and partial zonule dehiscence with vitreous loss in 2 eyes.Postoperative hyphema was seen in 8 eyes with elevated intraocular pressure(IOP)in 2 eyes. Seven patients had a rise in IOP higher than 30 mmHg postoperatively which returned to normal with medication.Severe postoperative uveitis occured in 6 eyes(4 in pseudophakic and in 2 aphakic)and was more common in patients with glaucoma who had PC-IOL implantation,which resolved within 2 weeks with a subconjunctival injection of steroid.No other significant complications which affect the visual outcome appeared.Extracapsular cataract extraction with PC IOL implantation in FHIC is a safe and effective procedure,but careful follow-up is needed