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有葡萄膜炎病史患者的白内障手术

Cataract surgery in patients with history of uveitis.

作者信息

Baheti Ujwala, Siddique Sana S, Foster C Stephen

机构信息

Massachusetts Eye Research and Surgery Institution (MERSI), United States.

出版信息

Saudi J Ophthalmol. 2012 Jan;26(1):55-60. doi: 10.1016/j.sjopt.2011.10.003.

Abstract

Cataract surgery in patients with uveitis is not as simple as any senile cataract surgery. Recent evidence suggests that useful visual outcome can be achieved in most of the cases if they are handled meticulously. Key factors leading to improved visual outcome are absolute control of preoperative inflammation with diligent use of immunomodulatory drugs, meticulous surgery along with early detection and care of postoperative complications. Modern technologies in the intraocular lens designs and materials have contributed to the success. In this article, we review the literature on this subject with emphasis on the importance of the use of immunomodulatory drugs to control preoperative and postoperative intraocular inflammation and avoid complications.

摘要

葡萄膜炎患者的白内障手术不像任何老年性白内障手术那么简单。最近的证据表明,如果精心处理,大多数病例都能获得良好的视觉效果。导致视觉效果改善的关键因素包括通过勤勉使用免疫调节药物绝对控制术前炎症、精心手术以及早期发现和处理术后并发症。人工晶状体设计和材料方面的现代技术也促成了手术的成功。在本文中,我们回顾了关于这一主题的文献,重点强调使用免疫调节药物控制术前和术后眼内炎症以及避免并发症的重要性。

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