Sawa M, Kondo M, Ogino N
Department of Ophthalmology, Aichi Medical University, Japan.
Nippon Ganka Gakkai Zasshi. 1995 Jun;99(6):687-91.
We determined the anterior chamber inflammation by means of laser flaremetry after cataract intraocular lens surgery for the nuclear cataract that developed after vitrectomy. Cases (38 eyes of 36 patients) were divided into the following four groups according to their pathologies indicating vitrectomy; proliferative diabetic retinopathy (PDR, 14 eyes), idiopathic posterior vitreous membrane syndrome (PVMS, 9 eyes), rhegmatogenous retinal detachment (RRD, 8 eyes), and branch retinal vein occlusion (BRVO, 7 eyes). Mean intervals between the two surgeries were 31, 23, 27 and 18 months, respectively. Phacoemulsification and aspiration through the self-sealing sclerocorneal wound and intraocular lens implantation in the bag were performed. The mean flare count was already high before the cataract surgery in all groups. Postoperative course of mean flare count was an overlap of two waves, one (P1) with a peak on day 1 followed by rapid decrease and the other (P7) with a peak on day 7 followed by slow decrease. Peak values of P1 were higher than the day 1 value after cataract surgery without fundus pathology, and higher in PDR and BRVO groups than in PVMS and RRD groups. P7 was like that observed after vitrectomy and there was close similarity among the groups.
我们通过激光散射仪测定了玻璃体切除术后发生核性白内障的患者白内障人工晶状体手术后的前房炎症情况。根据玻璃体切除术的病理情况，将病例（36例患者的38只眼）分为以下四组：增殖性糖尿病视网膜病变（PDR，14只眼）、特发性玻璃体后脱离综合征（PVMS，9只眼）、孔源性视网膜脱离（RRD，8只眼）和视网膜分支静脉阻塞（BRVO，7只眼）。两次手术之间的平均间隔时间分别为31、23、27和18个月。通过自闭式巩膜角膜伤口进行超声乳化吸除术，并在囊袋内植入人工晶状体。所有组在白内障手术前平均闪光计数就已经很高。平均闪光计数的术后过程呈现两波重叠，一波（P1）在第1天达到峰值，随后迅速下降，另一波（P7）在第7天达到峰值，随后缓慢下降。P1的峰值高于无眼底病变的白内障手术后第1天的值，且PDR和BRVO组高于PVMS和RRD组。P7与玻璃体切除术后观察到的情况相似，且各组之间非常相似。
