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目的探讨尿毒症失明患者进行白内障手术的疗效。方法 21例(35眼)肾内科血液透析的尿毒症失明患者进行术前检查,调整全身情况,术前抗炎,病情稳定后行白内障手术,术后常规治疗并随访1个月。观察治疗效果。结果术后1周视力达4.9者10眼(28.57%),视力4.6~4.8者18眼(51.43%),4.2~4.5者7眼(20.0%),查找视力恢复不佳原因为糖尿病性视网膜病变已达增殖期,眼底可见出血及渗出。随访期间无一例眼内炎发生。结论对尿毒症手术患者选择个性化的手术方案及进行严格的围手术期管理,可以显著改善尿毒症患者的视觉质量。
Objective To investigate the efficacy of cataract surgery in blind patients with uremia. Methods 21 cases (35 eyes) of renal hemodialysis patients with uremia blindness were examined preoperatively to adjust the general condition, preoperative anti-inflammatory, cataract surgery after the condition was stable, conventional postoperative treatment and follow-up for 1 month. Observe the effect of treatment. Results One week after operation, the visual acuity was 4.9 in 10 eyes (28.57%), visual acuity was 4.6 ~ 4.8 in 18 eyes (51.43%) and 4.2 ~ 4.5 in 7 eyes (20.0%). The reason of poor vision recovery was diabetic retinopathy Has reached the proliferative phase, visible bleeding and exudation of the fundus. No case of endophthalmitis occurred during follow-up. Conclusion Choosing a personalized surgical protocol and strict perioperative management of uremic patients can significantly improve the visual quality of patients with uremia.