CAJ | 학술논문

目的分析Fuchs综合征患者并发白内障的成因及行白内障超声乳化吸出术的临床疗效.方法对2011年1月至2013年1月在南昌大学第二附属医院眼科就诊的15例Fuchs综合征并发白内障患者行超声乳化白内障吸出术,观察术中术后并发症及视力恢复情况.结果术中常见并发症为瞳孔缩小和前房出血;术后并发症有青光眼、前房积血.最好矫正视力0.6以上者占80％(12/15).Fuchs综合征早期不一定有白内障,而通过手术去除白内障这一因素后,睫状体炎仍然存在.结论超声乳化白内障吸出联合人工晶状体植入术对Fuchs综合征并发白内障是一种安全而有效地治疗方法.其白内障成因可能与睫状体炎有关.
목적 분석Fuchs종합정환자병발백내장적성인급행백내장초성유화흡출술적림상료효.방법 대2011년1월지2013년1월재남창대학제이부속의원안과취진적15례Fuchs종합정병발백내장환자행초성유화백내장흡출술,관찰술중술후병발증급시력회복정황.결과 술중상견병발증위동공축소화전방출혈;술후병발증유청광안、전방적혈.최호교정시력0.6이상자점80％(12/15).Fuchs종합정조기불일정유백내장,이통과수술거제백내장저일인소후,첩상체염잉연존재.결론 초성유화백내장흡출연합인공정상체식입술대Fuchs종합정병발백내장시일충안전이유효지치료방법.기백내장성인가능여첩상체염유관.
Objective To investigate the etiology of Fuchs syndrome cataract and its clinical observation by phacoemulsification.Methods Fifteen patients (15 eyes) with heteroehromic iridocyclitis who had phaeoemulsifieation and IOL implantation were reviewed.Intraoperative and postoperative complication was observed.Results Intraoperative complication included miosis and hemorrhage in anterior chamber.Postoperative complications were glaucoma and hyphemia.Best corrected postoperative visual acuity was 0.6 or better in 80％ of eyes.Cataract didn't necessarily presents at the early stage of Fuchs syndrome.By surgically removing the cataract,cyclitis still existed.Conclusions Eyes with heteroehromic iridocyclitis tolerate well to the phacoemulsification with IOL implantation.Fuchs cataract is caused and complicated by cyclitis.