白内障超声乳化术后角膜水肿的临床分析
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Clinical analysis of corneal edema after cataract phacoemulsification surgery
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    摘要:

    目的:探讨白内障超声乳化术后角膜水肿的相关因素。 方法:通过观察532例564眼白内障超声乳化术后第1d角膜水肿的情况,分析角膜水肿与年龄、核硬度、合并青光眼、糖尿病的关系。 结果:患者564眼中角膜水肿共计118眼,发生率为209%。其中70岁以上角膜水肿占24.0%,Ⅳ级核占36.9%,Ⅴ级核为100%。其中抗青光眼术后白内障角膜水肿比例为68.1%,合并有糖尿病白内障角膜水肿比例为48.6%。 结论:白内障超声乳化术后角膜水肿程度与年龄、核硬度程度呈平行关系;糖尿病和抗青光眼术后的患者角膜容易发生水肿反应,反之无眼部手术病史、糖尿病史患者术后角膜水肿发生率低,水肿反应轻。

    Abstract:

    AIM:To analyze the correlative factors of the corneal edema after cataract phacoemulsification. METHODS:The relations between the corneal edema and age,rigidity of lens nucleus,glaucoma, diabetes in 532 cases (564 eyes) after cataract phacoemulsification were studied. RESULTS:There were 118 eyes of corneal edema in 564 eyes, the rate of corneal edema was 20.9%. The incidence of patients older than 70 was 24.0%,Ⅳ level of lens nucleus was 36.9%,Ⅴ level of lens nucleus was 100%, patients with operation for glaucoma was 68.1%, and patients with diabetes was 48.6%. CONCLUSION:Corneal edema after cataract phacoemulsification surgery has parallel correlation with age and rigidity of lens nucleus. Its easy to occur in patients with diabetes or operation for glaucoma.While, patients with no ocular operation, diabetes mellitus have a lower rate of corneal edema and lighter reaction.

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张超,唐红,秦萍,等.白内障超声乳化术后角膜水肿的临床分析.国际眼科杂志, 2012,12(5):906-908.

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  • 收稿日期:2012-02-10
  • 最后修改日期:2012-04-12
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