【摘要】 目的 :探讨葡萄膜炎并发白内障的手术方式和疗效。方法 :对 2 7例 31眼葡萄膜炎并发白内障行白内障摘除及人工晶体植入术 ,其中 10眼联合玻璃体切除术及后囊切开术 ,2眼联合小梁切除术 ,4眼联合虹膜周切术。结果 :术后 2 8眼 (90 .32 % )视力较术前提高。其中≥ 0 .5者 10眼 ,0 .3～ 0 .5者 5眼 ,0 .1～ 0 .3者 7眼 ,<0 .1者 6眼。 31眼术后眼压均控制正常。结论 :葡萄膜炎并发白内障植入人工晶体可提高视力 ,对合并玻璃体混浊者联合玻璃体切除有助于术后视力提高。更多还原

【Abstract】 Purpose:To investigate the surgical management and effects in complicated cataract patients following uveitis.Methods:31 eyes of 27 patients with secondary cataract after uveitis underwent cataract extraction accompanied by intraocular lens implantation.In them,10 eyes necessitated vitrectomy,2 eyes did trabeculectomy and 4 eyes did peripheral iridectomy.Results:Visual acuity improved in 28 eyes.10 eyes gained postoperative visual acuity 0.5 or better.5 eyes had 0.3—0.5.7 eyes had 0.1—0.3.6 eyes had less than 0.1.There was no postoperative intraocular hypertension.Conclusions:The operation of cataract extraction combined with intraocular lens implantation provides a preferable approach in complicated cataract patients following uveitis to enhance postoperative visual acuity.Vitrectomy,whenever indicated in addition to cataract extraction in vitreous opactiy cases,improves visual rehabilitation.更多还原