青少年特发性关节炎患者的白内障超声乳化吸除联合人工晶状体植入术
Phacoemulsification with intraocular lens implantation in juvenile idiopathic arthritis.
作者信息
Ganesh Sudha K, Sudharshan S
机构信息
Medical and Vision Research Foundations, Sankaranethralaya 18, College Road, Chennai 600006, India.
出版信息
Ophthalmic Surg Lasers Imaging. 2010 Jan-Feb;41(1):104-8. doi: 10.3928/15428877-20091230-19.
BACKGROUND AND OBJECTIVE
To evaluate outcomes of phacoemulsification cataract surgery with intraocular lens (IOL) implantation in children and adults with juvenile idiopathic arthritis-associated uveitis.
PATIENTS AND METHODS
Charts of 7 patients (10 eyes) with juvenile idiopathic arthritis-associated uveitis who had phacoemulsification cataract surgery between December 2002 and March 2005 were analyzed.
RESULTS
Ten eyes of 7 patients had phacoemulsification with IOL implantation done by a single surgeon. A heparin surface modified IOL was used in 7 eyes and a foldable acrylic IOL was used in 3 eyes. At final follow-up, 70% of eyes had a visual acuity of 20/40 or better and 30% had improved visual acuity to 20/60. Posterior capsular opacification was found in 2 eyes and anterior capsular fibrosis in 1 eye.
CONCLUSION
Keys to success following cataract surgery in juvenile idiopathic arthritis are the age of the child, the absence of amblyopia, and strict preoperative and postoperative control of inflammation.
背景与目的
评估在患有幼年特发性关节炎相关性葡萄膜炎的儿童及成人中进行白内障超声乳化吸除联合人工晶状体（IOL）植入术的效果。
患者与方法
分析了2002年12月至2005年3月期间接受白内障超声乳化吸除术的7例（10只眼）患有幼年特发性关节炎相关性葡萄膜炎患者的病历。
结果
7例患者的10只眼由同一位外科医生进行了白内障超声乳化吸除联合IOL植入术。7只眼使用了肝素表面改性IOL，3只眼使用了可折叠丙烯酸酯IOL。在末次随访时，70%的眼视力达到20/40或更好，30%的眼视力提高到20/60。2只眼出现后囊膜混浊，1只眼出现前囊膜纤维化。
结论
幼年特发性关节炎患者白内障手术后成功的关键在于患儿的年龄、无弱视以及术前和术后严格控制炎症。
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