Sangwan Virender S, Surender Prathiba, Burman Sanghamitra
Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India.
J Cataract Refract Surg. 2005 Feb;31(2):359-62. doi: 10.1016/j.jcrs.2004.06.024.
To assess the outcome of cataract surgery in patients with Mooren's ulcer.
Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India.
In this interventional case series, the medical records of 6 patients with Mooren's ulcer who had cataract surgery were retrospectively reviewed. Five patients had uneventful extracapsular cataract extraction with intraocular lens (IOL) implantation, and 1 patient had phacoemulsification with IOL implantation. The visual acuity and postoperative course of the patients were reviewed. The patients were followed to detect, and if present treat, a recurrence of Mooren's ulcer.
The follow-up ranged from 3 months to 2 years. The preoperative visual acuity ranged from 20/60 to hand movements. Postoperatively, the best corrected visual acuity improved to 20/20 to counting fingers close to face. Mooren's ulcer recurred 8 months after surgery in 1 patient and was treated appropriately.
Results indicate that cataract surgery can be safe in patients with Mooren's ulcer and visually significant cataract. Performing surgery in a quiet, noninflamed eye improves the prognosis in these cases.
评估蚕蚀性角膜溃疡患者白内障手术的效果。
印度海得拉巴市L.V.普拉萨德眼科研究所眼免疫与葡萄膜炎科。
在这个干预性病例系列中，对6例行白内障手术的蚕蚀性角膜溃疡患者的病历进行回顾性分析。5例患者行白内障囊外摘除联合人工晶状体（IOL）植入术，手术顺利，1例患者行超声乳化白内障吸除联合IOL植入术。对患者的视力及术后病程进行分析。对患者进行随访以检测蚕蚀性角膜溃疡复发情况，如有复发则进行治疗。
随访时间为3个月至2年。术前视力范围为20/60至手动。术后，最佳矫正视力提高到20/20至眼前数指。1例患者术后8个月蚕蚀性角膜溃疡复发，经适当治疗。
结果表明，对于有明显白内障的蚕蚀性角膜溃疡患者，白内障手术是安全的。在安静、无炎症的眼中进行手术可改善这些病例的预后。
