摘要
葡萄膜炎并发白内障属于难治性复杂白内障,其发生率与葡萄膜炎的种类有关,手术效果也随之各异。其最佳手术时机是在葡萄膜炎控制稳定,炎症消退3月以后。术前应常规局部应用阿托品及全身应用皮质类固醇激素。手术方法首选超声乳化。术者应熟练掌握小瞳孔超声乳化技术及多种瞳孔扩张技术,不要轻易剪开虹膜。术中要尽量做足够大的、不偏心的连续环形撕囊、充分的水分离、囊袋内超声乳化,并冲吸干净皮质。大多数患者可以植入IOL,并得到好的手术效果。推荐使用植入器将推注式IOL植入囊袋。
Cataract in uveitis is tricky to treat. Its incidence and surgical outcome are related with the type of uveitis. Its optimal surgical time is 3 months after uveitis is under control and inflammatory reaction disappears. Before surgery, it is routine to give topical at-ropine and systemic corticosteroid, Phacoemulsification is the first surgical choice. Surgeons must be skilled in small-pupil pha-coemulsification and in different pupil-stretching techniques. Irial cutting can be done only with caution. Continuous capsular tearing should be adequately large and central; sufficient hydrodissection, phacoemulsification in capsular bag and complete cortical removal should be conducted For most patients, IOL can be implanted and good vision can be achieved. Foldable IOL implantation with an injector is recommended.
出处
《国际眼科杂志》
CAS
2003年第2期58-59,共2页
International Eye Science
基金
上海市百名跨世纪优秀学科带头人培养计划(百人计划)资助
