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目的 探讨人工晶体植入术后迟发性葡萄膜炎的发病机制及影响因素。方法 回顾性分析 11例 18眼白内障超声乳化人工晶体植入术后迟发性葡萄膜炎的临床资料及随访结果。结果 ①术后迟发性葡萄膜炎的发病率为 3 3 % ;②糖尿病、眼部合并症、劳累和早期过度用眼为发病主要影响因素 ;③本病对皮质类激素治疗敏感 ,只要治疗及时 ,一般预后良好。结论 本病可能是由免疫复合物介导的急性葡萄膜炎症反应。术前严格掌握适应症 ;术中尽可能彻底清除晶体皮质 ;术后局部不可过早停药、监控糖尿病人血糖变化、早期避免劳累和过度用眼可降低其发生率。
Objective To investigate the pathogenesis and influencing factors of delayed uveitis after intraocular lens implantation. Methods The clinical data and follow-up results of 11 cases of delayed uveitis after phacoemulsification with intraocular lens implantation in 18 eyes were retrospectively analyzed. Results ① The incidence of delayed uveitis was 33%. ② Diabetes mellitus, ocular complications, exertion and early overuse were the main influencing factors of the disease. ③ The disease was sensitive to corticosteroid treatment. As long as the treatment Timely, the general prognosis is good. Conclusion The disease may be mediated by immune complexes acute uveitis. Preoperative rigorous indications; intraoperative corticodynia as thoroughly as possible; postoperative local premature withdrawal, monitoring of diabetic patients with changes in blood glucose, early to avoid overworked with overuse can reduce its incidence.