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目的探讨手法小切口白内障囊外摘出人工晶状体植入术术后迟发性葡萄膜炎的临床特点、治疗方法和预防措施。方法回顾分析226例(239眼)手法小切口白内障囊外摘出人工晶状体植入术的11例(11眼)发生迟发性葡萄膜炎的临床资料。结果手法小切口白内障囊外摘出人工晶状体植入术术后迟发性葡萄膜炎的发生率为4.60%,多数发生于术后2～3周。应用散瞳剂,糖皮质激素,非甾体消炎药等进行治疗,3～10d前房炎症完全控制,视力恢复良好,1例人工晶状体瞳孔夹持。结论迟发性葡萄膜炎是手法小切口白内障囊外摘出人工晶状体植入术术后出现较晚的并发症,对术后恢复良好的视力又造成严重损害,及早诊断和治疗效果良好。
Objective To investigate the clinical features, treatment and preventive measures of delayed uveitis following small incision extracapsular cataract extraction with intraocular lens implantation. Methods The clinical data of 11 cases (11 eyes) with delayed uveitis were retrospectively analyzed in 226 cases (239 eyes) of small incision extracapsular cataract extraction and intraocular lens implantation. Results Postoperative small incision extracapsular cataract extraction intraocular lens implantation postoperative delayed uveitis incidence was 4.60%, most occurred in 2 to 3 weeks after surgery. Application of mydriatic agents, glucocorticoids, non-steroidal anti-inflammatory drugs for treatment, 3 ~ 10d anterior chamber inflammation was completely controlled, visual acuity was good, 1 case of intraocular lens pupillary clamping. Conclusions Delayed uveitis is a late complication after small incision extracapsular cataract extraction and intraocular lens implantation. It also causes serious damage to the well-resumed visual acuity. The early diagnosis and treatment result is good.