摘要
目的探讨白内障人工晶体植入术后出现的迟发性葡萄膜炎的发病机制及其相关影响因素。方法系统性回顾545例（596眼）年龄相关性白内障摘出术后迟发性葡萄膜反应27眼；糖尿病性的白内障92例（92眼），术后迟发性葡萄膜反应15眼；青少年儿童白内障73例（73眼），术后迟发性葡萄膜反应11眼。将年龄相关性白内障、糖尿病性白内障、青少年儿童白内障依次分作A组、B组和C组，比较A组与B组、A组与C组间术后迟发性葡萄膜炎的发病情况差异。结果年龄相关性白内障术后迟发性葡萄膜反应发生率为4．53％与糖尿病性白内障术后发生率（16．38％）之间差异有统计学意义（P〈0．01）；与青少年儿童白内障术后发生率（15．07％）之间差异也有统计学意义（P〈0．01）。结论青少年儿童白内障、糖尿病性白内障患背人工晶状体植入术后迟发性葡萄膜炎的发病率均较年龄相关性白内障者为高，须早期注意并及时治疗以期恢复较好视力。
Objective To investigate the pathogenesis and related factors of delayed uveitis after cataract extraction intraocular lens （IOL） implantation surgery. Methods 27 eyes of delayed uveitis in 545 age-related cataract cases, 15 cases of delayed uveitis in 92 cases with diabetic cataract, 11 cases of delayed uveitis in 73 cases of child and adolescent cataract were retrospectively analyzed. Age-related cataract, dia- betic cataract, children cataract were divided into group A, group B and group C. We compared the rates of delayed uveitis of group A with group B, and group A with group C to see if it has statistically significant difference, using statistical methods x^inspection comparison. Results The rates of delayed uveitis be- tween age-related cataract and diabetic cataract was statistically significantly different （P 〈 0.01 ） , the rates of delayed uveitis between age-related cataract and children cataract was statistically significantly different （ P 〈 0. 01 ）. Conclusion Diabetes and younger are considered as the factors of delayed uveitis. The prognosis depends on the early treatment.
出处
《中华眼外伤职业眼病杂志》
2011年第9期696-698,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
