CAJ | 학술논문

目的探讨对白内障术后角膜内皮炎的诊断及治疗方法 .方法对一组白内障术后角膜内皮炎采用抗病毒药物、糖皮质激素及降眼压等对症治疗.观察疗效并进行随访.结果全部病例均获得良好疗效,随访4～9个月,未发现复发.结论白内障术后发生角膜内皮炎,早期足量糖皮质激素治疗,可以迅速缓解内皮细胞及小梁网的炎症,对控制眼压,挽救角膜内皮细胞生理功能起主要作用.同时使用抗病毒药物,以及对症降眼压处理.可以获得良好的疗效.
목적 탐토대백내장술후각막내피염적진단급치료방법 .방법 대일조백내장술후각막내피염채용항병독약물、당피질격소급강안압등대증치료.관찰료효병진행수방.결과 전부병례균획득량호료효,수방4～9개월,미발현복발.결론 백내장술후발생각막내피염,조기족량당피질격소치료,가이신속완해내피세포급소량망적염증,대공제안압,만구각막내피세포생리공능기주요작용.동시사용항병독약물,이급대증강안압처리.가이획득량호적료효.
Objective To discuss the diagnosis and therapy of corneal endotheliitis after cataract surgery.Methods The clinical manifestation and treatment of 5 patients (5 eyes) of corneal endotheliitis after cataract surgery were analyzed retrospectively.All the patients were treated with antiviral medicine,glucocorticoid and IOP-droping medication.The follow up period was 4 - 9 months.Results 5 patients ( 5 eyes) were cured without menifestation of recurrence.Conclusion Enough glucocorticoid can release inflammation of endothelial cell and trabecular meshwork quickly,control the intraocular pressure and retrieve the physiologic function of corneal endothelium.The antiviral and IOP-droping medication can make patients get favorable curative effect.