葡萄膜炎并发白内障手法小切口手术临床疗效

目的 探讨手法小切口白内障手术人工晶状体植入治疗葡萄膜炎并发白内障的临床疗效.方法 32例（32眼）炎症静止3月以上的葡萄膜炎并发性白内障,行手法小切口白内障手术人工晶状体植入,术后随访3～6月,观察视力、眼压和并发症.结果 32眼术后视力均有提高,其中≥0.5者14眼,0.3～0.4者12眼,0.1～0.2者6眼.瞳孔圆形或椭圆形,术后眼压控制在正常范围.手术并发症为早期角膜水肿及葡萄膜炎反应.结论 葡萄膜炎并发白内障手法小切口白内障手术人工晶状体植入,手术安全,并发症少,术后反应轻,视力有恢复.

Clinical efficacy of manual small incision cataract surgery for complicated cataract due to uveitis

Objective To discuss the clinical efficacy of manual small incision cataract surgery and intraocular lens implantation for complicated cataract due to uveitis.Methods 32 eyes of 32 cases with complicated cataract due to uveitis of which the inflammation was stable more than 3 months were treated with manual small incision cataract surgery and IOL implantation.The patients were followed up for 3 to 6 months and the visual acuity,intraocular pressure and complications were observed.Results Postoperative visual acuity of 32 eyes was improved,which was over 0.5 in 14 eyes,0.3 to 0.4 in 12 eyes and 0.1 to 0.2 in 6 eyes.Pupils were round or oval.Intraocular pressure was normal.Surgical complications were early corneal edema and uveitis.Conclusion Manual small incision cataract surgery and IOL implantation for complicated cataract due to uveitis is safe and has fewer complications,slight postoperative reaction and good recovery of visual acuity.