超声乳化术治疗色素膜炎并发性白内障

目的 评估色素膜炎并发性白内障超声乳化手术的疗效。方法 钝化分离瞳孔后粘连及剪除机化膜，牵拉扩张瞳孔后，采用原位碎核技术对19例（21只眼）色素膜炎并发性白内障行超声乳化，结果 术后1周矫正视力≥0.5者16只眼（76.2%），≥0.2者18只眼（85.7%)；手术并发症为虹膜损伤，角膜水肿，未见后囊膜破裂及角膜失代偿；术后19只眼（90.5%)恢复圆瞳孔；2只眼（9.5%)瞳孔不规则。结论 超声乳化术治疗色素膜炎并发性白内障，具有对虹膜损伤小，术后前房炎症反应轻，视力早期恢复等优点，值得推广应用。

Therapeutic effect of phacoemulsification for complicated cataract seco ndary to uveitis

Objective　To evaluate the therapeutic effect of phacoemulsification for complicated cataract secondary to uveitis. Metho ds　Twenty-one eyes of 19 patients with complicated cataract secondary to uveitis were emulsified in situ frature technique after blunt separation of iris posterior synechiae, excision of organized membrane with scissors and st retching pupil. Results　The visual acuities with correction on e week after operation was≥ 0.5 in 16 eyes (76.2%), and ≥0.2 in 18 eyes (85.7% ). The major complications were iris damage and corneal edema. No rupture of pos terior capsule and corneal decompensation were found. After operation, a round p upil was obtained in 19 eyes (90.5%) and an irregular pupil in 2 eyes (9.5%).Conclusion　This operation is suitable for complicated cataract se condary to uveitis, and worth to popularize due to the minimization of iris dam age and postoperative inflammation in the anterior chamber, good visual acuity r ehabilitation earlier.