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目的:探讨白内障超声乳化治疗葡萄膜炎并发白内障患者的临床疗效。方法:选择重庆市巴南区第二人民医院眼科2015年4月至2016年4月收治的葡萄膜炎并发白内障患者80例,均采用白内障超声乳化手术治疗,比较治疗前后视力变化情况。结果:术后1周、4周及12周视力≥0.5占比分别为68.8%、76.3%、77.5%,明显高于术前,差异具有统计学意义(P<0.05);术后1周、4周及12周视力≥0.5占比对比,差异均无统计学意义(P>0.05);术中25.0%后囊破裂,15.0%虹膜出血,均未影响手术;术后并发症主要为角膜水肿、前房渗出,经治疗后恢复。结论:白内障超声乳化手术治疗葡萄膜炎并发白内障疗效优良。
Objective: To investigate the clinical effect of cataract phacoemulsification in the treatment of cataract patients with uveitis. Methods: Eighty patients with uveitis complicated with cataract who were treated in Department of Ophthalmology, Second People ’s Hospital of Banan District, Chongqing from April 2015 to April 2016 were selected for phacoemulsification. The changes of visual acuity before and after treatment were compared. Results: The percentages of visual acuity ≥ 0.5 at 1 week, 4 weeks and 12 weeks after operation were 68.8%, 76.3% and 77.5% respectively, which were significantly higher than those before operation (P <0.05). One week after operation, There was no significant difference in visual acuity ≥0.5 between 4 weeks and 12 weeks (P> 0.05); 25% of posterior capsule ruptured and 15.0% of iris hemorrhage did not affect the operation. The main complications were corneal edema , Anterior chamber exudation, recovery after treatment. Conclusion: Phacoemulsification cataract surgery with cataract is effective.