糖尿病患者白内障术后发生葡萄膜炎的发病机制及影响因素.docVIP

精品论文 参考文献 糖尿病患者白内障术后发生葡萄膜炎的发病机制及影响因素 甘肃省白银市景泰县人民医院 730400 摘要：目的：探讨糖尿病患者白内障术后发生葡萄膜炎的发病机制及影响因素。 方法：回顾行分析并总结我院16例16眼糖尿病患者白内障术后发生葡萄膜炎的临床资料及随访结果：部分患者术后第3天岀现明显的葡萄膜炎反应，，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，前房变浅，个别患者还出现全葡萄膜炎反应，术后经局部散瞳、皮质类固醇及全身抗生素药物治疗后，前房反应改善，视力岀现不同程度的提高，无其他严重并发症，其中有一例患者岀现前房明显变浅，虹膜后粘连，眼压明显升高后导致视神经萎缩，视力恢复不佳。 结论：糖尿病患者白内障术后岀现葡萄膜炎与其身体状况的特殊异质性有关，对此类患者施行手术时需要严格进行术前准备，控制和稳定血糖水平，选用生物相容性强的的如肝素化的人工晶状体或低创性的可折叠的人工晶状体，皆可降低葡萄膜炎的发生率。术后的积极处理可望取得良好的手术效果。 Objective：to explore the pathogenesis of diabetic cataract postoperative uveitis mechanism and influence factors.Methods：retrospective analysis and summary of our 16 cases（16 eyes of diabetic cataract postoperative uveitis results：the clinical data and follow-up of patients with postoperative day 3 file now obvious uveitis reaction，and characterized by different levels of aqueous humor benefly，pigment spread，severe cases appeared after membrane before intraocular lens and iris adhesion，shallow anterior chamber，also appear all uveitis response，individual patients after partial mydriatic，corticosteroids and systemic antibiotics treatment，anterior chamber reaction，improve eyesight file a different degree of increase，now no other serious complications，including patient file now obviously becomes shallow anterior chamber，iris adhesion after intraocular pressure significantly increased after lead to optic atrophy，poor visual acuity.Conclusion：file now uveitis cataract surgery patients with diabetes and its associated health special heterogeneity，in the operation of such patients need a preoperative preparation，strict control and stable blood sugar levels，with strong biological compatibility of such as heparinization intraocular lens or low invasive foldable intraocular lens，can reduce the incidence of uveitis.Postoperative active treatment can achieve good operation effect. 1.1对象 统计我院眼科2011-01至2014-01共完成伴有糖尿病的白内障患者的超声乳化人工晶状体植入术102例，其中发生前房反应16例16眼，发生率15.6%，其中男性10例 女性6例，年龄58岁~78岁；合并糖尿病视网膜病变9眼，其中背景型8眼，增殖型1眼。