获得性免疫缺陷综合征患者白内障超声乳化摘除手术后的临床观察

目的:观察获得性免疫缺陷综合征患者白内障超声乳化摘除术后视力变化及早期术后并发症情况。方法:收集2016-05/2019-04在我院行白内障超声乳化摘除联合人工晶状体植入术的获得性免疫缺陷综合征合并白内障患者33例47眼,记录术后1d,1wk,1、3mo的裸眼视力、最佳矫正视力、眼压、前房细胞计数及术后并发症发生情况。结果:获得性免疫缺陷综合征合并白内障患者术后裸眼视力及最佳矫正视力均较术前明显改善(P<0.05)。术后1d房水细胞计数较术前增加,但术后1wk起房水细胞计数较术前无明显变化。术后3mo内所有术眼无严重术后眼部并发症发生。结论:获得性免疫缺陷综合征合并白内障患者行白内障超声乳化摘除联合人工晶状体植入手术安全有效。

Surgical outcomes of phacoemulsification in cataract patients with acquired immunodeficiency syndrome

AIM: To investigate the postoperative visual acuity and ophthalmic complications after phacoemulsification in cataract patients with acquired immunodeficiency syndrome(AIDS).

METHODS: We enrolled 47 eyes of 33 patients with AIDS who underwent phacoemulsification and intraocular lens implantation in our department between May 2016 and April 2019. The visual acuity, diopter, intraocular pressure(IOP), anterior chamber cell count(ACCC), and postoperative complications were recorded postoperative 1d, 1wk, 1mo, and 3mo.

RESULTS:The postoperative visual acuities, including uncorrected visual acuity(UCVA)and best corrected visual acuity(BCVA)at postoperative 1d, 1wk, 1mo, and 3mo, were significantly better than that of preoperation(P<0.05). The ACCC count on the first day after surgery increased as compared with preoperation, but the difference was not significant from the first week after surgery. Furthermore, there was no apparent ophthamolic complications occurred after surgery.

CONCLUSION: The phacoemulsification and intraocular lens implantation is a safe and effective surgery for cataract patients with AIDS.