內因性葡萄膜炎併發白內障之白內障摘除並植入人工水晶體

Intraocular Lens Implantation in Uveitis

張由美(Yu-Mei Chung) ； 葉則祥(Tse-Shiang Yeh) ； 劉榮宏(Jorn-Hon Liu)

《中華民國眼科醫學會會刊》 27卷2期 (1988/05) Pp. 884-889

https://doi.org/10.30048/ACTASOS.198805.0154

摘要

本篇報告榮總眼科自民國73年2月至76年1月，對61眼內因性葡萄膜炎併發白內障的患眼施行囊外白內障摘除並植入後房人工水晶體之臨床經驗。61眼中急性前葡萄膜炎27眼、Fuchs'紅彩異心性睫狀體炎12眼、貝西氏病6眼、原田氏病6眼而其餘10眼為其他類型之內因性葡萄膜炎。追踪檢查為10到45個月（平均，20.1個月）。除l眼外，所有患眼術後視力都較術前改善，而有82%的患眼術後的視力在6/20以上。較常見的術復併發症為瞳孔變形(26.2%)、晶體後囊混濁(23.0%)、紅膜後黏連(21.3%)、大型水晶體表面沈積(16.4%)及晶體前面覆膜(13.1%)。手術後所有的患眼均未發生原來葡萄膜炎之惡化現象。

並列摘要

From Feb. 1984 to Jan. 1987, intraocular lens implantation following extracapsular cataract extraction was performed in 61 cataractous eyes associated with endogenous uveitis in the Veterans General Hospital. What constituted the 61 eyes were 27 eyes with acute anterior uveitis, 12 with Fuchs' heterochromic cyclitis, 6 with Behcet's disease, 6 with Harada's disease and 10 with other types. Follow-up duration was 10 to 45 months (mean, 20.1). All but 1 eyes obtained improved visual acuity which was better than 6/20 in 50(82%) eyes. Commoner postoperative complications were pupillary deformity (26.2%), posterior capsule opacification (23.0%), posterior synechiae (21.3%), large lenticular clumps (16.4%) and anterior lenticular membrane (13.1%). No exacerbation of preexisting uveitis was noted.

並列關鍵字

artificial intraocular lens ； cataract surgery ； endogenous uveitis ； pseudophakos