Ophthalmology Department, Yozgat State Hospital, Yozgat, Ankara, Turkey.
J Cataract Refract Surg. 2013 Jul;39(7):1002-7. doi: 10.1016/j.jcrs.2013.02.053. Epub 2013 May 18.
To assess the results of phacoemulsification and posterior chamber intraocular lens (PC IOL) implantation in patients with cataract secondary to anterior uveitis.
Department of Ophthalmology, Ministry of Health, Ankara Training and Research Hospital, Ankara, Turkey.
Case series.
Consecutive patients with anterior uveitis and cataract were prospectively studied for outcomes after phacoemulsification and PC IOL implantation.
Fifty-five eyes (48 patients; mean age 44.9 years ± 15.6 [SD]) were included. Patients were followed for 6 months. The etiology of uveitis was presumed idiopathic anterior uveitis (n = 22), herpes simplex virus-associated anterior uveitis (n = 10), Fuchs heterochromic iridocyclitis (n = 10), and anterior uveitis associated with collagen vascular disease (n = 13). Preoperative complications secondary to uveitis included posterior synechiae (12 eyes), glaucoma (26 eyes), and sequelae of cystoid macular edema (CME) (21 eyes). At the final visit, the corrected distance visual acuity (CDVA) was 20/40 or better in 52 eyes (94.5%) and 20/20 in 33 eyes (60.0%). The CDVA was worse than 20/40 in 3 eyes because of preoperative anterior and posterior segment abnormalities. Postoperative complications were CME, recurrent uveitis, and posterior capsule opacity in 7 eyes (12.7%) each; fibrinous anterior chamber reaction in 6 eyes (10.9%); raised intraocular pressure in 4 eyes; peripheral anterior synechiae in 1 eye (1.8%); and hypotony in 1 eye (1.8%).
Patients with a history of anterior uveitis and cataract having phacoemulsification with PC IOL implantation had excellent visual results with a relatively low complication rate.
No author has a financial or proprietary interest in any material or method mentioned.
评估超声乳化白内障吸除术及后房型人工晶状体（PC IOL）植入术治疗前葡萄膜炎继发白内障的效果。
土耳其安卡拉培训与研究医院卫生部眼科。
病例系列。
对连续就诊的前葡萄膜炎合并白内障患者进行前瞻性研究，观察其超声乳化白内障吸除术及 PC IOL 植入术后的结果。
55 只眼（48 例患者；平均年龄 44.9 岁±15.6[标准差]）纳入本研究。患者平均随访 6 个月。葡萄膜炎病因推测为特发性前葡萄膜炎（22 只眼）、单纯疱疹病毒相关性前葡萄膜炎（10 只眼）、Fuchs 异色性虹膜睫状体炎（10 只眼）和与胶原血管疾病相关的前葡萄膜炎（13 只眼）。葡萄膜炎导致的术前并发症包括后粘连（12 只眼）、青光眼（26 只眼）和黄斑囊样水肿（CME）后遗症（21 只眼）。末次随访时，52 只眼（94.5%）的最佳矫正远视力（BCVA）达 20/40 或以上，33 只眼（60.0%）达 20/20。3 只眼的 BCVA 差于 20/40，原因是术前眼前段和眼后段异常。7 只眼（12.7%）分别出现 CME、葡萄膜炎复发和后发性白内障；6 只眼（10.9%）出现纤维蛋白性前房反应；4 只眼出现眼压升高；1 只眼（1.8%）出现周边前粘连；1 只眼（1.8%）出现低眼压。
有前葡萄膜炎病史的白内障患者行超声乳化白内障吸除术及 PC IOL 植入术，视力恢复良好，并发症发生率相对较低。
无作者在本研究中存在任何财务或专有利益。
