Savko V V
Oftalmol Zh. 1990(1):1-4.
Comparative analysis of results after extracapsular cataract extraction (46 eyes) and intracapsular cataract extraction (58 eyes) in 88 patients with recurrent uveitis has shown that after extracapsular extraction complications occur rarer than after intracapsular cataract extraction. Exudative reaction was observed equally frequently both in surgical intervention at the period of remission, and in the presence of moderate signs of uveitis. Both methods allowed to achieve high visual acuity in 58% of cases; the cause of low visual acuity was atrophy of the optic nerve, chorioretinitis, opacification of the vitreous body, secondary cataract. In remote terms of observation, no recurrences of the disease were recorded in 82% of cases, this speaking about the fact that removal of opaque lens prevents possible autosensitizing influence of a lenticular antigen on the eye coats.
对88例复发性葡萄膜炎患者行囊外白内障摘除术(46眼)和囊内白内障摘除术(58眼)后的结果进行比较分析表明,囊外摘除术后并发症的发生率低于囊内白内障摘除术。无论是在缓解期进行手术干预,还是存在中度葡萄膜炎体征时,渗出性反应的发生率相同。两种方法在58%的病例中都能达到高视力;低视力的原因是视神经萎缩、脉络膜视网膜炎、玻璃体混浊、继发性白内障。在远期观察中,82%的病例未记录到疾病复发,这表明摘除混浊晶状体可防止晶状体抗原对眼组织可能产生的自身致敏影响。