Dursun D, Akova Y A, Akman A, Oto S, Aydin P
Başkent University Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey.
Eye (Lond). 2000 Apr;14 ( Pt 2):176-9. doi: 10.1038/eye.2000.49.
In chronic renal failure (CRF) patients the risk of per- and post-operative complications in cataract surgery is high. The most frequent complications observed in these patients and the prevalence of cataract were studied.
Eighty-two CRF patients who had undergone ophthalmic examination between December 1996 and April 1998 at Başkent University, Department of Ophthalmology, were retrospectively analysed. Of 82 patients, 18 eyes of 14 CRF patients between 37 and 79 years of age underwent cataract extraction. Planned extracapsular cataract extraction was performed in all patients and all but one had posterior chamber intraocular lens implantation. In the post-operative period, scrapings of the corneal infiltrates were cultured and smears were examined, and the conjunctiva was swabbed and cultured also.
Per-operative hypotony and scleral collapse occurred in 1 patient, and another had haemorrhage in the anterior chamber. Post-operatively, suture infiltration was observed in 10 eyes. These lesions disappeared after topical steroid and antibiotic treatment.
Patients with CRF require special surgical considerations since they face both general surgical problems and others that arise due to their disease.
在慢性肾衰竭（CRF）患者中，白内障手术围手术期及术后并发症的风险很高。对这些患者中观察到的最常见并发症以及白内障的患病率进行了研究。
回顾性分析了1996年12月至1998年4月在巴斯肯特大学眼科接受眼科检查的82例CRF患者。在82例患者中，14例年龄在37至79岁之间的CRF患者的18只眼接受了白内障摘除术。所有患者均计划进行囊外白内障摘除术，除1例患者外，其余患者均植入了后房型人工晶状体。术后，对角膜浸润处的刮片进行培养并检查涂片，同时对结膜进行擦拭和培养。
1例患者术中出现低眼压和巩膜塌陷，另1例患者前房出血。术后，10只眼观察到缝线浸润。经局部使用类固醇和抗生素治疗后，这些病变消失。
CRF患者需要特殊的手术考虑，因为他们既要面对一般的手术问题，也要面对因疾病而产生的其他问题。
