目的:评价超声乳化术治疗葡萄膜炎并发白内障的治疗效果。方法:回顾分析40例48眼葡萄膜炎并发性白内障患者超声乳化手术治疗前后的情况。结果:术后2wk有44眼(92%)视力较术前提高;术中5眼(10%)计划外后囊破裂,6眼(13%)发生虹膜出血;术后第2d角膜水肿38眼(79%),前房渗出43眼(90%),5眼(10%)术后眼压增高,12眼(25%)瞳孔欠圆。结论:超声乳化术治疗葡萄膜炎并发白内障相对较复杂,并发症较多,但整体效果良好。

AIM:To evaluate the therapeutic effect of phacoemulsification on uveitis-complicated cataract.·METHODS:Clinical data from forty-eight eyes of 40 cases with uveitis-complicated cataract were retrospectively analyzed.·RESULTS:The visual acuity of 44 eyes (92%) improved two weeks after surgery.The posterior capsule ruptured in 5 eyes (10%) and tridemia occurred in 6 eyes (13%) during surgery.Corneal edema occurred in 38 eyes (79%) the second day after surgery.Fibrous exudates in anterior chamber were found in 43 eyes (90%) after surgery.Intraocular pressure elevated in 5 eyes (10%) postoperatively.Twelve eyes (25%) had irregular-shape pupil.·CONCLUSION:Although there are more complications during and after the surgery,phacoemulsification is still a safe and effective way to treat uveitis-complicated cataract.

R779.66