摘要
目的:总结人工晶状体植入术后迟发性葡萄膜炎的经验。方法:2011年8月-2013年9月收治人工晶状体植入术后迟发性葡萄膜炎患者90例,进行回顾性分析。结果:所有患者均有不同程度视力下降,患者感觉畏光、流泪、刺痛等。发病时间是术后10~49 d,多数患者发生在术后17~25 d。90例患者经过治疗于3~5 d炎症得以控制,5~7 d炎症消退,视力恢复。结论:人工晶状体植入术后迟发性葡萄膜炎多发生于术后17~25 d,术中严格无菌操作,术后及时应用糖皮质激素滴眼液是预防的关键。
Objective:To summarize the experience of delayed uveitis after intraocular lens implantation.Methods:90 patients with delayed uveitis after intraocular lens implantation were selected from August 2011 to September 2013.Clinical data were retrospectively analyzed.Results:All patients had different degrees of decreased visual acuity,patients feeled photophobia,tears,tingling,and so on.The onset time was 10 to 49 days,and most of the time was 17 to 25 days.After treatment for 3 to 5 days,the inflammation of 90 patients were controlled.After the treatment of 5 to 7 days,inflammation was subsided,and eyesight was restored.Conclusion:The multiple time of delayed uveitis after intraocular lens implantation is 17 to 25 days after operation.Strict aseptic operation in operation,timely application of glucocorticoid eyedrops are the key to the prevention.