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[1]唐垚,薛春燕,王春红,等.超声乳化人工晶体植入治疗葡萄膜炎并发白内障的临床效果[J].医学研究与战创伤救治(原医学研究生学报),2018,20(03):229-231.[doi:10.3969/j.issn.1672-271X.2018.03.002]
　TANG Yao,XUE Chun-yan,WANG Chun-hong,et al.Clinical observation of phacoemulsification and intraocular lens implantation treatment for uveitis complicated cataract[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(03):229-231.[doi:10.3969/j.issn.1672-271X.2018.03.002]
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超声乳化人工晶体植入治疗葡萄膜炎并发白内障的临床效果()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年03期
页码:
229-231
栏目:
出版日期:
2018-05-09

文章信息/Info

Title:
Clinical observation of phacoemulsification and intraocular lens implantation treatment for uveitis complicated cataract
作者:
唐垚; 薛春燕; 王春红; 黄振平
作者单位：210002南京，南京大学医学院附属金陵医院（南京军区南京总医院）眼科（唐垚、薛春燕、王春红、黄振平）
Author(s):
TANG Yao;  XUE Chun-yan; WANG Chun-hong; HUANG Zhen-ping
（Department of Ophthalmology, Jinling Hospital, Nanjing University School of Medicine/Nanjing General Hospital of Nanjing Military Region, PLA, Nanjing 210002,Jiangsu，China）
关键词:
超声乳化术; 人工晶体植入术; 葡萄膜炎; 白内障; 临床疗效
Keywords:
phacoemulsification;  intraocular lens implantation;  uveitis;  cataract;  clinical effect
分类号:
R779.6
DOI:
10.3969/j.issn.1672-271X.2018.03.002
文献标志码:
A
摘要:
目的 探讨超声乳化白内障吸除人工晶状体植入术治疗葡萄膜炎并发白内障的临床效果。方法 回顾性分析经临床确诊的59例(68眼)葡萄膜炎并发白内障患者临床资料，均行超声乳化白内障吸除人工晶状体植入术，统计分析病因、手术前后视力改善情况、术前使用皮质类固醇激素对治疗效果的影响及术后并发症发生情况等。结果 术后患者视力均得到提高,术后最佳矫正视力（BCVA)＞05为29眼，占42.65%。手术后的视力改善与手术前比较差异具有统计学意义（P<001）。全身使用了皮质类固醇激素治疗者34眼，患者的视力恢复明显劣于术前未用激素治疗者（P<001）。术后11例患者发生并发症(18.64%)。结论 超声乳化白内障吸除人工晶状体植入术治疗葡萄膜炎并发白内障临床效果较好，术中处理得当能够显著提高术后视力和减少葡萄膜炎复发。
Abstract:
Objective To observe the therapeutic effect of phacoemulsification and intraocular lens implantation in patients with uveitis combined with cataract.Methods We collected 59 cases of patients (68 eyes) with uveitis and cataract admitted and treated in our hospital, treated with phacoemulsification and intraocular lens implantation after the operation. The causes, visual acuity before and after surgery, the effect of steroid treated patients before operation and the postoperative complications were analyzed.Results After cataract surgery, all cases had improved visual acuity, postoperative best corrected visual acuity (BCVA) of 0.5 eyes was 29, accounting for 42.65% after surgery compared with preoperative visual acuity improved with statistical difference (P＜0.01). The effect of preoperative hormone therapy (34 eyes) was significantly worse than that of nonsteroidal treated patients before operation (P＜0.01). Complications occurred in 11 patients (18.64%). Conclusion Phacoemulsification and intraocular lens implantation can improve visual acuity in patients with uveitis complicated cataract and restore physiologic round pupil as much as possible during operation. Retaining posterior capsule can significantly improve postoperative vision and reduce uveitis recurrence.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：江苏省自然科学基金（BK2012777）；江苏省“六大人才高峰”项目（2014-WSW-041）
更新日期/Last Update: 2018-05-20