Stutzer H, Aust W
Augenklinik, Lehrkrankenhaus Kassel.
Ophthalmologe. 1994 Aug;91(4):479-81.
Between 1985 and 1993, 73 eyes of 56 uveitis patients were subjected to extracapsular (n = 64) or intracapsular (n = 9) cataract extraction. We investigated the results up to 6 years later. 53 eyes received a posterior chamber lens, one an anterior chamber lens. Preoperatively, 22 eyes showed signs of an inflammation in the anterior chamber. Nevertheless, we implanted posterior chamber lenses in 16 of them. In most cases posterior synechias made the lens extraction more difficult, but no complications occurred. Twenty-four eyes, 17 of them with a posterior chamber lens, showed a new uveitis during follow-up which was treated conservatively. The intraocular pressure was not well regulated during follow-up in 4 of 15 eyes with preoperatively known secondary glaucoma. Two more secondary glaucomas developed. The visual acuity was satisfactory, and late diminutions were not caused by the uveitis in most cases. No artificial lens had to be explanted.
1985年至1993年间，对56例葡萄膜炎患者的73只眼进行了囊外（n = 64）或囊内（n = 9）白内障摘除术。我们对6年后的结果进行了调查。53只眼植入了后房型人工晶状体，1只眼植入了前房型人工晶状体。术前，22只眼前房有炎症体征。尽管如此，我们还是在其中16只眼中植入了后房型人工晶状体。在大多数情况下，虹膜后粘连使晶状体摘除更加困难，但未发生并发症。24只眼在随访期间出现了新的葡萄膜炎，其中17只眼植入了后房型人工晶状体，均采用保守治疗。术前已知患有继发性青光眼的15只眼中，有4只眼在随访期间眼压控制不佳。另外又出现了2例继发性青光眼。视力令人满意，大多数情况下视力后期下降并非由葡萄膜炎引起。无需取出人工晶状体。
