Balta Ozgur, Sungur Gulten, Acar Mehmet Akif, Kosker Mustafa, Yakin Mehmet, Ornek Firdevs
Department of Ophthalmology, Dr. Nafiz Korez Sincan State Hospital, Ankara, Turkey.
Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.
Int Ophthalmol. 2018 Aug;38(4):1399-1407. doi: 10.1007/s10792-017-0598-z. Epub 2017 Jun 10.
This study was aimed to assess the long-term results of phacoemulsification and posterior chamber intraocular lens implantation in patients with anterior uveitis.
Patients with complicated cataract secondary to anterior uveitis who underwent phacoemulsification and posterior chamber intraocular lens implantation were included in this study. Long-term results and all complications were evaluated throughout the postoperative 4 years.
A total of 55 eyes of 48 patients were identified in this study. Cases with anterior uveitis were categorised into four aetiologic groups. Of the 55 eyes, 22 (19 patients) had idiopathic anterior uveitis, 10 (9 patients) had viral anterior uveitis, 10 (9 patients) had Fuchs' anterior uveitis and 13 (11 patients) had anterior uveitis associated with collagen vascular diseases. Preoperative macular oedema was more frequent (63.6%) in the idiopathic group than in the other groups (p < 0.001). The success rates of the best corrected visual acuity of 20/40 or better ranged from 80.0 to 100.0% in the groups. While postoperative increased intraocular pressure rate was statistically significantly higher in the Fuchs' group (p = 0.047), there was no statistically significant difference in other complication rates between the groups.
The long-term outcomes of phacoemulsification with intraocular lens implantation in patients with uveitic cataract were satisfactory with excellent visual acuity and relatively low complication rates.
本研究旨在评估前葡萄膜炎患者行超声乳化白内障吸除术及后房型人工晶状体植入术的长期效果。
本研究纳入了因前葡萄膜炎继发复杂性白内障而行超声乳化白内障吸除术及后房型人工晶状体植入术的患者。在术后4年期间评估长期效果及所有并发症。
本研究共纳入48例患者的55只眼。前葡萄膜炎病例分为四个病因组。在这55只眼中，22只眼（19例患者）为特发性前葡萄膜炎，10只眼（9例患者）为病毒性前葡萄膜炎，10只眼（9例患者）为富克斯前葡萄膜炎，13只眼（11例患者）为与胶原血管疾病相关的前葡萄膜炎。特发性组术前黄斑水肿更为常见（63.6%），高于其他组（p<0.001）。各组最佳矫正视力达到20/40或更好的成功率在80.0%至100.0%之间。虽然富克斯组术后眼压升高率在统计学上显著更高（p = 0.047），但各组之间其他并发症发生率无统计学显著差异。
葡萄膜炎性白内障患者行超声乳化白内障吸除联合人工晶状体植入术的长期效果令人满意，视力良好且并发症发生率相对较低。
