糖尿病患者白内障术后前房反应临床观察.docVIP

精品论文 参考文献 糖尿病患者白内障术后前房反应临床观察 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) 　　【摘要】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1d出现，11例发生在术后7d-14d。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，视力出现不同程度的提高，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1a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；选用生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 　　【中图分类号】R587.1 【文献标识码】A 【文章编号】2095-1752（2014）17-0026-02 　　 Inflammation in anterior chamber after cataract surgery in diabetes 　　 Lichao Libin ZHengbotao 　　 Department of Ophthalmology, Suzhou Kowloon Hospital, JiangSu，SuZhou，215021, China 　　【Abstract】AIM: To study the mechanism and related factors of acute inflammation in anterior chamber after cataract surgery in diabetes.　METHODS: 288 eyes were studied，13 eyes (4.5%) with inflammation in anterior chamber after phacoemusification combined with intraocular lens (IOL) implantation were chosen for retrospective analysis and summary, with reference with follow up results. RESULTS: Significant inflammation in anterior chamber appeared on the first day after cataract surgery in 2 eyes, chronic inflammation in anterior chamber appeared on the 7-14 days after cataract surgery in 11 eyes. Inflammation in anterior chamber signed as different levels of anterior chamber flare and pigment diffusion. And some severe patients developed membrane before IOLs and posterior synechia in late period. With use of mydriatics, corticosteroid partially and antibiotic agent after surgery, the inflammation in anterior chamber alleviated and visual acuity improved more or less, with no other serious complications. 11 patients (84.6%) best corrected visual acuity(BCVA) were better steadily than 0.4 after one year .CONCLUSION: Inflammation in anterior chamber in diabetes