超声乳化联合前段玻璃体切割治疗葡萄膜炎并发性白内障

目的: 探讨白内障超声乳化联合前段玻璃体切割治疗葡萄膜炎并发白内障的临床疗效。方法: 选取我院2010-03/2012-10葡萄膜炎并发白内障患者20例24眼进行观察,均行白内障超声乳化联合前段玻璃体切割术治疗,术中均植入人工晶状体。结果: 术后随防6～12mo,23眼(96%)视力得到不同程度提高,6眼(25%)术中虹膜出血,2眼(8%)术后前房炎症反应,1眼(4%)出现一过性眼压升高。结论: 超声乳化联合前段玻璃体切割是目前治疗葡萄膜炎并发性白内障较为有效的方法,可有助于控制炎症反应,提高视功能,减少并发症。

Clinical observation of therapeutic effect of phacoemulsification combined with anterior vitrectomy for uveitis complicated cataract

AIM: To evaluate clinical effect of phacoemulsification combined with anterior vitrectomy for uveitis complicated cataract.

METHODS: Totally 20 patients(24 eyes)with uveitis who had phacomeulsifacation and anterior vitrectomy between March 2010 and October 2012 were reviewed retrospectively. All patients were implanted intraocular lens.

RESULTS: The follow-up varied from 6 to 12 months. The visual acuity improved in 23 eyes(96%). There was iris hemorrhage in 6 eyes(25%)of operation.Postoperative complications were anterior chamber inflammation in 2 eyes(8%), a transient elevation of intraocular pressure in 1 eye(4%).

CONCLUSION: Phacoemulsification combined with anterior vitrectomy is an effective method in the treatment of uveitis complicated cataract, which can contribute to the control of inflammation, improve the visual function, reduce complications.