Krishna R, Meisler D M, Lowder C Y, Estafanous M, Foster R E
Division of Ophthalmology, Cleveland Clinic Foundation, Ohio 44195, USA.
Ophthalmology. 1998 Sep;105(9):1765-9. doi: 10.1016/S0161-6420(98)99051-0.
The objective of the study was to determine the long-term outcome of patients with uveitis who underwent extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PCIOL) implantation.
Retrospective review.
Twenty-eight patients (36 eyes).
Extracapsular cataract extraction and PCIOL implantation.
Level of best-corrected Snellen visual acuity, change in visual acuity, length of follow-up, long-term findings, and complications.
In long-term follow-up (mean, 81.4 months), 94% of eyes had visual acuity improvement compared with preoperative levels. Average change in visual acuity for all eyes was an improvement of 6.4 Snellen lines; 75% of eyes were 20/40 or better. The prevalences of cystoid macular edema (CME), epiretinal membrane (ERM), and posterior capsule opacification (PCO) were 56%, 56%, and 58%, respectively.
Patients with uveitis who are treated with ECCE with PCIOL implantation can have successful visual results in long-term follow-up despite the prevalence of PCO or macular abnormalities such as CME and ERM.
本研究的目的是确定接受白内障囊外摘除术（ECCE）和后房型人工晶状体（PCIOL）植入术的葡萄膜炎患者的长期预后。
回顾性研究。
28例患者（36只眼）。
白内障囊外摘除术和PCIOL植入术。
最佳矫正Snellen视力水平、视力变化、随访时间、长期观察结果及并发症。
在长期随访中（平均81.4个月），与术前水平相比，94%的患眼视力得到改善。所有患眼的平均视力变化为Snellen视力表提高6.4行；75%的患眼视力达到20/40或更好。黄斑囊样水肿（CME）、视网膜前膜（ERM）和后囊膜混浊（PCO）的发生率分别为56%、56%和58%。
尽管存在PCO或黄斑异常（如CME和ERM），但接受ECCE联合PCIOL植入术治疗的葡萄膜炎患者在长期随访中仍可获得成功的视力结果。
