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白内障超声乳化吸出术后缺血性眼病的临床研究

赵晓金 丁相奇 钱立峰

眼科新进展2017,Vol.37Issue(2):172-174,3.
眼科新进展2017,Vol.37Issue(2):172-174,3.DOI:10.13389/j.cnki.rao.2017.0045

白内障超声乳化吸出术后缺血性眼病的临床研究

Clinical analysis of ischemic ophthalmopathy after cataract phacoemulsification

赵晓金 1丁相奇 1钱立峰1

作者信息

  • 1. 450006 河南省郑州市,郑州市第二人民医院眼科
  • 折叠

摘要

Abstract

Objective To investigate the cause and treatment for ischemic ophthalmopathy after cataract phacoemulsification.Methods A total of 3000 patients with cataract underwent phacoemulsification were retrospectively analyzed,and 13 patients with ischemic ophthalmopathy.The ischemic optic neuropathy (ION) were in 8 cases,7 cases occurred in age related cataract,1 cases occurred in the dislocation of lens;The central retinal artery occlusion (CRAO) were occurred in 5 cases,1 cases of age-related cataract,2 cases of congenital cataract,2 cases of traumatic cataract.The patients were diagnosed with fundus,visual field and fundus fluorescein angiography respectively,and then were treated with dilation of blood vessels,nutrition nerves and symptomatic treatment.Results The visual acuity in 6 cases with ION after the treatment were improved in different degrees;The visual acuity in 2 cases with CRAO after treatment were improved,3 cases was not recovered.Conclusion Ischemic ophthalmopathy caused by phacoemulsification cataract surgery may be related to the main vascular disease or optic nerve ischemia and hypoxia during operation,and with early detection and treatment,visual acuity can be improved to some extent.

关键词

白内障/超声乳化/缺血性视神经病变/视网膜中央动脉阻塞

Key words

cataract/phacoemulsification/ischemic optic neuropathy/central retinal artery occlusion

分类

医药卫生

引用本文复制引用

赵晓金,丁相奇,钱立峰..白内障超声乳化吸出术后缺血性眼病的临床研究[J].眼科新进展,2017,37(2):172-174,3.

眼科新进展

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