糖尿病患者白内障术后前房反应临床观察

《糖尿病患者白内障术后前房反应临床观察》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、糖尿病患者白内障术后前房反应临床观李超李斌郑波涛(上海交通大学医学院苏州九龙医院眼科江苏苏州215021)目的:探讨糖尿病患者白内障术后前房反应的发病特点及处理方法。方法：回顾性分析并总结我院13例13眼糖尿病患者白内障超声乳化联合人工晶状体植入术后出现前房反应的临床资料、治疗情况及随访结果。结果：288眼纳入观察，其中发生前房反应13例13眼，发生率为4.5%。其中，2例患者在术后第Id出现，11例发生在术后7d-14do皆表现为不同程度的房水闪辉、色素播散，严重者出现人工晶状体前膜及虹膜后粘连。经

2、散瞳、皮质类固醇以及全身应用抗生素药物治疗后，前房反应缓解，视力岀现不同程度的提高，除1例因继发性青光眼施行抗青光眼小梁切除术后眼压控制外，其余未发现明显严重并发症。随访发现术后la视力稳定在0.4以上者11眼(84.6%)。结论：糖尿病病人白内障术后前房炎症反应以迟发性为主，与特质性有关，应注重术后随访。充分术前准备；稳定血糖水平；选用牛.物相容性强的人工晶体；术后强化抗炎治疗等措施可降低前房反应的发生率并使其得到有效控制。【关键词】糖尿病白内障前房反应R587.1A2095-1752(2014)1

3、7-0026-02InflammationinanteriorchamberaftercataractsurgeryindiabetesLichaoLibinZHengbotaoDepartmentofOphthalmology,SuzhouKowloonHospital,JiangSu,SuZhou，215021,China【Abstract】AIM:Tostudythemechanismandrelatedfactorsofacuteinflammationinanteriorchamberaft

4、ercataractsurgeryindiabetes.METHODS:288eyeswerestudied，13eyes(4.5%)withinflammationinanteriorchamberafterphacoemusificationcombinedwithintraocularlens(IOL)implantationwerechosenforretrospectiveanalysisandsummary,withreferencewithfollowupresults.RESULTS:

5、Significantinflammationinanteriorchamberappearedonthefirstdayaftercataractsurgeryin2eyes,chronicinflammationinanteriorchamberappearedonthe7-14daysaftercataractsurgeryin11eyes.Inflammationinanteriorchambersignedasdifferentlevelsofanteriorchamberflareandp

6、igmentdiffusion.AndsomeseverepatientsdevelopedmembranebeforelOLsandposteriorsynechiainlateperiod.Withuseofmydriatics,corticosteroidpartiallyandantibioticagentaftersurgery,theinflammationinanteriorchamberalleviatedandvisualacuityimprovedmoreorless,withno

7、otherseriouscomplications.11patients'(84.6%)bestcorrectedvisualacuity(BCVA)werebettersteadilythan0.4afteroneyear.CONCLUSION:Inflammationinanteriorchamberindiabetesaftercataractsurgeryismainlymanifestedaschronicinflammationandrelatedtotheirspecialheterog

8、eneity.Timelypostoperativefollow-up，goodpreoperativepreparationsisnecessaryforsuchpatients,andwithcontrolandstabilizationofbloodsugarlevel,useofhighbiocompatibilitylOLs，activetreatmentmayproducefavourablesurgeryeffect.【Keywords】d