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Int Ophthalmol. :前葡萄膜炎患者进行白内障手术的长期效果

2017-06-12 cuiguizhong MedSci原创

前葡萄膜炎患者进行超声乳化白内障吸出术和人工晶状体植入长期疗效令人满意

土耳其安卡拉安卡拉培训和研究医院眼科系Ornek F教授及其同事在Int Ophthalmol.杂志上发表了他们的最新研究:评估眼前叶葡萄膜炎患者的超声乳化白内障吸出术和后房人工晶体植入的长期效果

他们以患有前葡萄膜炎又继发复发性白内障的患者为对象进行了跟踪研究,这些患者都接受了超声乳化白内障吸出术和后房人工晶体植入。他们对这些患者在术后4年内长期结果和所有并发症进行了评估。


Ornek F教授团队共鉴定了48例患者的55只眼睛,并根据病因将前葡萄膜炎患者分为四个组。在55只眼睛中,22例(19例)患有特发性前葡萄膜炎,10例(9例)患有病毒性前葡萄膜炎,10例(9例)患有Fuchs前葡萄膜炎,13例(11例)伴有胶原血管疾病相关的葡萄膜炎。特发性组患者术前黄斑水肿(63.6%)明显高于其他组(P <0.001)。 20/40或更好的最佳矫正视力的成功率在80.0%至100.0%之间。而术后眼压升高率在Fuchs前葡萄膜炎组有统计学意义(p = 0.047),其他并发症发生率差异无统计学意义。

综上,他们得出了一个重要结论:对前葡萄膜炎患者进行超声乳化白内障吸出术和人工晶状体植入,能取得令人满意的长期疗效,可以提高患者视力敏感度,并且并发症发生率较低。

原文出处:
Balta, O., Sungur, G., Acar, M.A. et al. Long-term results of cataract surgery in patients with anterior uveitis. Int Ophthalmol (2017). doi:10.1007/s10792-017-0598-z

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