超声乳化吸除治疗葡萄膜炎并发白内障的研究

目的：探讨施行超声乳化吸除人工晶状体植入治疗葡萄膜炎并发白内障的疗效。方法：回顾分析32例38眼葡萄膜炎并发白内障患者超声乳化手术治疗前后的情况。手术中先用黏弹剂钝性分离,瞳孔不能扩大者,用囊内剪沿瞳孔缘做环形剪除,做连续环形撕囊,囊袋内植入人工晶状体,观察手术并发症和术后视力,观察时间为术后6mo。结果：术后1mo有33眼（87%）视力较术前提高,其中〉0.5者22眼,0.3～0.5者6眼,0.1～0.25者7眼,〈0.1者3眼,术后瞳孔接近圆形。部分瞳孔恢复对光反应,无严重并发症发生。结论：本手术方法对葡萄膜炎并发白内障有良好的疗效,手术损伤小。

Research of phacoemulsification for treatment of uveitis complicated cataract

AIM: To investigate the therapeutic effect of phacoemulsification with intraocular lens on uveitis complicated cataract. METHODS:Totally 32 cases (38 eyes) of uveitis complicated cataract were performed with phacoemusification,through separating adhesion with viscoelastic agents needle. You should make circular cut off along the pupillary margin with intracapsular shear if the pupil cannot expand. RESULTS:Visual acuity of 33 eyes(87%) were improved.The postoperative visual acuity was>0.5 in 22 eyes,0.3-0.5 in 6 eyes,0.1-0.25 in 7 eyes, <0.1 in 3 eyes. There were no serious complications and no aggravation of old uveitis. Postoperative pupill was near circle. Some pupils recovered light response. No serious complication presented. CONCLUSION:Excision of the pupillary margin in phacoemulsification with small pupil is safe and effective. The related complications can be decreased by skillful manipulation.