Ríhová E, Havlíková M, Michalová K, Boguszaková J, Stara J, Poch T
1. ocní klinika 1. LF UK, Praha.
Cesk Slov Oftalmol. 1996 Apr;52(2):98-103.
The authors present an account of surgery of complicated cataract in 20 patients with anterior and intermediate uveitis. During a one-year follow-up period they evaluate the difference of postoperative development and visual acuity in extracapsular extraction without or with implantation of an intraocular lens. In 10 patients (5x m. Fuchs, 3x anterior uveitis, 2x intermediate uveitis) they performed only ECCE. In 10 patients with the same diagnosis an intraocular lens was implemented. The authors did not find marked differences between the ECCE operation and ECCE operation with an intraocular lens in patients with uveitis. The visual acuity improved in all 20 patients, a marked inflammatory reaction in the anterior chamber was observed in both groups only during the first days after surgery. The two groups did not differ markedly as regards late complications. From the investigation ensues that implantation of an intraocular lens is well tolerated in patients with anterior and intermediate uveitis assuming a minimum 12-week remission of the disease.
作者报告了20例伴有前部和中间部葡萄膜炎患者的复杂性白内障手术情况。在一年的随访期内,他们评估了在无人工晶状体植入或有人工晶状体植入的囊外摘除术中术后病情发展和视力的差异。10例患者(5例Fuchs病、3例前部葡萄膜炎、2例中间部葡萄膜炎)仅接受了囊外白内障摘除术(ECCE)。另外10例诊断相同的患者植入了人工晶状体。作者发现,在葡萄膜炎患者中,ECCE手术与植入人工晶状体的ECCE手术之间没有明显差异。所有20例患者的视力均有改善,两组仅在术后头几天观察到前房有明显的炎症反应。两组在晚期并发症方面没有明显差异。研究结果表明,对于前部和中间部葡萄膜炎患者,假设疾病至少缓解12周,人工晶状体植入耐受性良好。