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目的观察糖尿病患者行白内障超声乳化摘除术联合人工晶体植入术后发生前葡萄膜炎的特点及临床治疗效果。方法回顾性分析32例行白内障超声乳化摘除术联合人工晶体植入术后发生前葡萄膜炎糖尿病患者的临床资料。结果 32例患者经积极局部抗炎、散瞳治疗后,22例患者炎症得到控制,视力恢复;10例瞳孔膜闭严重者经药物治疗后瞳孔难以散开、眼压不降,予YAG激光将渗出膜切开后眼压得到控制,炎症消退,视力部分恢复;21例高眼压者经局部消炎、降眼压及YAG激光治疗后眼压得到控制。结论糖尿病患者白内障术后易发生前葡萄膜炎反应,及时给予强化消炎、散瞳、降眼压及YAG激光治疗,炎症及眼压均能得到控制,视力部分恢复。
Objective To investigate the characteristics and clinical treatment of anterior uveitis after cataract phacoemulsification combined with intraocular lens implantation in diabetic patients. Methods The clinical data of 32 patients with anterior uveitis and diabetes mellitus after phacoemulsification and intraocular lens implantation were retrospectively analyzed. Results 32 cases of patients after active local anti-inflammatory, mydriasis treatment, 22 patients with inflammation control, visual acuity recovery; 10 cases of severe pupil membrane closed after treatment by the pupil is difficult to disperse, intraocular pressure does not drop to YAG laser Ocular pressure was controlled after exudative membrane incision, inflammation subsided, visual acuity partially recovered; 21 cases of high intraocular pressure by local anti-inflammatory, intraocular pressure and YAG laser treatment after IOP was controlled. Conclusion Diabetic patients are prone to anterior uveitis after cataract surgery, and given intensive anti-inflammatory, mydriatic, intraocular pressure reduction and YAG laser treatment, the inflammation and intraocular pressure can be controlled and the visual acuity partially recovered.