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白內障手術後的黃斑部囊樣水腫性病變
Cystoid Macular Edema Following Cataract Surgery
摘要
白內障手術以後，有一部分病人會由於黃斑部囊樣水腫性病變的發生而引起若干症狀。 本篇研究的主要目的，在於利用眼底螢光攝影來評估此種病變的發生率，並觀察疾病的進行與預後情形。 高雄醫學院眼科自民國71年元月初到9月初為止，繼發於白內障手術後的黃斑部囊樣水腫性病變，在70眼中有12眼，佔17%，其中施行囊內水晶體摘除手術者，54眼中有9眼引起黃斑部囊樣水腫性病變，佔16.7%，而施行水晶體切除暨前玻璃體切除術者，16眼中有3眼發生黃斑部囊樣水腫性病變，佔18.7%。 在這12例中曾經引起玻璃體變化者有11例，佔91%，而大部分的病人都出現過眼球潮紅，刺激感，視力降低及中心暗點等症狀。75%的病人無需要特別治療，却都能在一段時間內恢復0.5以上的視力。
關鍵字
無資料並列摘要
From January to September 1982, 87 patients (97 eyes) had received cataract surgery of either ICCE or lensectomy plus anterior vitrectomy. Using slitlamp biomicroscope with Hruby lens, Goldmannthree-mirror contact lens and F. A. G., 12 eyes in 70 eyes were diagnosed as cystoid macular edema. Among 54 eyes that received ICCE, 9 eyes developed cystoid macular edema. Whereas among 16 eyes that received lensectomy and anterior vitrectomy, 3 eyes developed cystoid macular edema. The time interval between surgery and maculopathy ranged from 4 to 10 weeks. The most common symptoms were redness of eyes, sudden drop of vision, central scotoma, irritability of eyes, etc. Vitreous changes such as vitreous loss or ruptured anterior hyaloid face during cataract surgery, or posterior vitreous detachment etc., were noted in 11 eyes who had cystoid macular edema. The clinical findings and vision recovered in 12 eyes after administration of indomethacin or prednisolone in 4 cases and without treatment in 8 cases.