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目的 :分析白内障合并眼底病的临床特点。方法 :对我院 1998年 11月～ 2 0 0 0年 3月收治的 2 8例 (37只眼 )白内障合并眼底病的患者进行临床观察 ,对其特点进行分析和讨论。结果 :合并高度近视 18例 2 5只眼 ,视网膜色素变性 2例 4只眼 ,糖尿病性视网膜病变 4例 4只眼 ,玻璃体增殖 2例 2只眼 ,葡萄膜炎 1例 1只眼 ,视网膜脱离 1例 1只眼。术后中心视力0 3以下 ,占 45 9% ,0 5以下占 83 7%。结论 :白内障合并眼底病的患者术前应详细询问病史 ,并利用双目间接检眼镜 ,眼部A、B超 ,眼电生理等检查提高术前眼底病的检出率 ,为治疗及术后视力预后提供依据。
Objective: To analyze the clinical features of cataract combined with fundus disease. Methods: The clinical observation of 28 patients (37 eyes) with ocular fundus disease treated in our hospital from November 1998 to March 2000 were analyzed and discussed. Results: There were 18 cases of high myopia in 25 cases, 4 cases of retinitis pigmentosa in 2 cases, 4 cases of diabetic retinopathy in 4 cases, 2 cases of vitreous proliferation in 2 cases, 1 case of uveitis in 1 case, retinal detachment 1 case of 1 eye. Postoperative central visual acuity 0 3 or less, accounting for 45 9%, 0 5 the following accounted for 83 7%. Conclusions: Patients with cataract complicated with fundus disease should ask about the history before surgery, and use the binocular indirect ophthalmoscope, ocular A, B ultrasound and oculomotor physiology to improve the detection rate of preoperative ocular fundus disease, for the treatment and postoperative Vision to provide the basis for prognosis.