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顽固性葡萄膜炎并发性白内障的手术治疗 被引量:5

Clinical observation of phacoemulsification and intraocular lens implantation in complicated cataract induced by obstinate uveitis
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摘要 目的探讨顽固性葡萄膜炎并发性白内障的手术方法和效果。方法采用晶状体超声乳化后房型人工晶状体植入术治疗顽固性葡萄膜炎并发性白内障12例(16眼)。术前单独使用皮质类固醇或需要联合使用免疫抑制剂对葡萄膜炎患者治疗。术后随访6~12月,平均8.5月。结果手术后视力均有提高,术后最佳矫正视力〈0.1者2眼(12.50%),0.1~0.4者3眼(18.75%),0.5—0.9者7眼(43.75%),≥1.0者4眼(25.00%)。无严重并发症发生。结论顽固性葡萄膜炎并发性白内障经过规范治疗进行白内障人工晶状体手术是安全有效的。 Objective To investigate the surgical method and the therapeutic effect of obstinate uveitis complicated cataract. Methods 16 eyes of 12 patients with complicated cataract after obstinate uveitis underwent phacoemulsitication and posterior chamber intraocular lens implantation. The patients were treated with cortieosteroids or combihed with immunity inhibitor. After a mean follow-up period of 8.5 months ( range 6 to 1 2 months). Results Visual acuity improved in all cases. Post-operative best corrected visual acuity was 〈0.1 in 2 eyes( 12.50% ), 0. 1 -0.4 in 3 eyes (18.75%) ,0.5 - 0.9 in 7 eyes (43.75%), ≥ 1.0 in 4 eyes (25.00%). No serious complications were found. Conclusions Cataract extraction and intraocular lens implantation is safe and effective in patients with obstinate uveitis by standard treatment.
出处 《眼外伤职业眼病杂志》 北大核心 2008年第9期725-727,共3页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 葡萄膜炎 白内障 晶状体 人工 uveitis cataract intraocular lens
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