目的:探索微切口超声乳化人工晶状体植入术治疗葡萄膜炎并发白内障的临床疗效和安全性。方法:对32例40眼葡萄膜炎并发白内障的患者施行微切口超声乳化人工晶状体植入术,术中慎重处理小瞳孔和虹膜后粘连,尽量避免刺激虹膜,术后回顾性分析术后患者视力、并发症。结果:随访1～13(平均7.6)mo,40眼术后瞳孔基本圆,视力均有不同程度提高,术中3眼后囊膜破裂,2眼虹膜渗血。术后并发症主要有角膜水肿、瞳孔后粘连、葡萄膜炎复发,经相应处理后均已消失。结论:微切口超声乳化人工晶状体植入术是治疗葡萄膜炎并发白内障的安全有效的方法之一,它使角巩膜切口更小,术中损伤小,不伤及虹膜,术后前段反应轻,视力恢复好。

·AIM:To estimate the therapeutic effect and safety of small incision phacoemulsification and IOL implantation on uveitis coexisting with cataract.·METHODS:Phacoemulsification with small incision and IOL implantation were performed in 40 eyes of 32 patients through a small corneal incision,and the small pupil and posterior synechia were carefully handled,then the postoperative visual acuity and complications were retrospectively analyzed.·RESULTS:Follow-up 1-13 months(7.6 months in average),all cases were achieved round pupil and visual acuity was improved.Posterior capsule ruptured was in 3 eyes and tridemia occurred in 2 eyes during surgery.Corneal edema,fibrous exudates in anterior chamber,posterior synechia and uveitis recurrence were the main postoperative complications ·CONCLUSION:This method with a small corneal incision can protect iris from injury.It is a safe and effective method for management of uveitis coexisting with cataract,there is little inflammatory reaction,and visual acuity is satisfactory.·

R779.66