Pålsson Sara, Andersson Grönlund Marita, Skiljic Dragana, Zetterberg Madeleine
Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden.
Clin Ophthalmol. 2017 Aug 22;11:1549-1555. doi: 10.2147/OPTH.S143886. eCollection 2017.
To evaluate the outcome of cataract surgery in adult patients with uveitis.
In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska University Hospital, Mölndal, between January 2005 and December 2009 were analyzed.
The study included 58 eyes with and 283 eyes without uveitis. The most common etiologies were idiopathic anterior uveitis and Fuchs' heterochromic uveitis. Postoperative visual acuity at 4 weeks was ≥0.5 decimal (0.3 logMAR) in 48 eyes with uveitis (87.3%) compared to 180 non-uveitic eyes (86.1%). Four eyes with uveitis (7.1%) and one eye without uveitis (0.5%) developed postoperative intraocular hypertension/glaucoma. Posterior capsule opacification developed in 11 eyes (19.0%) with and 28 eyes (12.4%) without uveitis.
With appropriate perioperative anti-inflammatory regimen and surveillance, modern cataract surgery using phacoemulsification and primary intraocular lens implantation can be performed in patients with uveitis without greater risk of complications, yielding similar visual outcome as in patients without uveitis.
评估成年葡萄膜炎患者白内障手术的效果。
在这项回顾性队列研究中，分析了2005年1月至2009年12月期间在瑞典哥德堡大学萨尔格伦斯卡大学医院莫恩达尔眼科诊所接受白内障手术的葡萄膜炎患者和匹配的非葡萄膜炎对照患者的病历。
该研究纳入了58只患葡萄膜炎的眼睛和283只未患葡萄膜炎的眼睛。最常见的病因是特发性前葡萄膜炎和富克斯异色性葡萄膜炎。4周时，48只患葡萄膜炎的眼睛（87.3%）术后视力≥0.5（小数视力，0.3 logMAR），而180只未患葡萄膜炎的眼睛为86.1%。4只患葡萄膜炎的眼睛（7.1%）和1只未患葡萄膜炎的眼睛（0.5%）发生了术后高眼压/青光眼。11只患葡萄膜炎的眼睛（19.0%）和28只未患葡萄膜炎的眼睛（12.4%）出现了后囊膜混浊。
通过适当的围手术期抗炎方案和监测，采用超声乳化和一期人工晶状体植入的现代白内障手术可在葡萄膜炎患者中进行，且并发症风险不会更高，视觉效果与非葡萄膜炎患者相似。
