Xie Li-xin, Yao Zhan, Huang Yu-sen, Ying Liang, Wang Zhi-peng
Shandong Eye Institute & Hospital, Qingdao 266071, China.
Zhonghua Yan Ke Za Zhi. 2003 Oct;39(10):597-600.
To evaluate the result of surgery for senile cataract with Fuchs' endothelial dystrophy and emphasize the importance of the preoperative examination by specular microscopy.
In the review of 2,026 consecutive senile cataract cases, 17 Fuchs' endothelial dystrophy cases were found before cataract surgery by specular microscopy. Operative procedures and corneal endothelial protective measures were recorded, and postoperative corneal transparency was observed. The examination of specular microscopy was performed 3 months after the cataract surgery.
The incidence of Fuchs' endothelial dystrophy in senile cataract was 0.8% (17/2,026) in our study. The loss rate of endothelial cells was 16.2%. No bullous keratopathy occurred in all cases during follow-up period.
Reasonable measures to protect the endothelium in the surgery by an experienced operator is helpful to the success of surgery. Observing the endothelium by specular microscopy before cataract surgery is very important.
评估合并Fuchs内皮营养不良的老年性白内障手术效果，并强调术前角膜内皮镜检查的重要性。
回顾连续2026例老年性白内障病例，术前经角膜内皮镜检查发现17例合并Fuchs内皮营养不良。记录手术操作及角膜内皮保护措施，观察术后角膜透明度。白内障手术后3个月行角膜内皮镜检查。
本研究中，老年性白内障合并Fuchs内皮营养不良的发生率为0.8%（17/2026）。内皮细胞丢失率为16.2%。随访期间所有病例均未发生大泡性角膜病变。
经验丰富的术者在手术中采取合理的内皮保护措施有助于手术成功。白内障手术前行角膜内皮镜检查非常重要。
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