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葡萄膜炎通常并发白内障,白内障发生的原因可以是葡萄膜炎本身也可是治疗葡萄膜炎的药物如皮质类固醇所致。对这类患者的处理一直有争议,特别是关于人工晶体的植入。最近有报道继发于葡萄膜炎的白内障,用超声乳化技术、囊袋内植入后房型人工晶体,联合或不联合玻璃体切割术治疗获得成功。重要的问题是,术前患眼应消除炎症,术前术后应加强抗炎治疗。通过正确的处理,葡萄膜炎患者可以通过白内障摘出联合人工晶体的植入术,使其视力明显改善,且危险性小。
Uveitis is usually associated with cataracts, cataracts can be caused by uveitis itself but also the treatment of uveitis drugs such as corticosteroids. The treatment of such patients has been controversial, especially with regard to intraocular lens implantation. Recent reports of cataracts secondary to uveitis have been achieved with phacoemulsification, posterior chamber intraocular lens implantation with or without vitrectomy. The important issue is that preoperative eyes should eliminate inflammation, anti-inflammatory treatment should be strengthened before and after surgery. Through the correct treatment, patients with uveitis can be cataract extraction combined with intraocular lens implantation, the visual acuity significantly improved, and the risk is small.