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目的:分析探讨Fuchs综合征并发白内障超声乳化人工晶状体植入术的临床疗效。方法:分析27例(27眼)Fuchs综合征并发白内障患者施行白内障超声乳化摘除术联合一期植入人工晶状体,观察比较术前、术后视力及手术并发症的发生情况。结果:术后全部患者视力明显改善,大部分惠者(25眼,占92.59%)获得较好的术后视力(P>0.5),并且远期效果可靠。结论:采用超声乳化白内障囊外摘除术联合一期人工晶状体植入术,治疗Fuchs综合征并发白内障效果确切可靠。其预后关键在于术前诊断的准确,手术时机的选择,手术技巧,围手术期的处理和人工晶状体的选择。
Objective: To analyze the clinical effect of Fuchs syndrome complicated cataract phacoemulsification and intraocular lens implantation. Methods: 27 cases (27 eyes) of Fuchs syndrome complicated with cataract were treated with phacoemulsification and intraocular lens implantation. The incidence of preoperative and postoperative visual acuity and operative complications were observed and compared. Results: The visual acuity of all patients was significantly improved after operation. Most patients (25 eyes, 92.59%) had better postoperative visual acuity (P> 0.5), and the long-term effect was reliable. Conclusion: Phacoemulsification with extracapsular cataract extraction combined with intraocular lens implantation for the treatment of Fuchs syndrome with cataract is reliable. The key to its prognosis lies in the accuracy of preoperative diagnosis, the timing of surgery, surgical skills, perioperative management and IOL selection.