关键词: 超声乳化术, 晶体, 人工, 葡萄膜炎, 白内障

Abstract: To explore the visual outcome and risk factors for developing post-operative uveitis, macular odema and Nd:YAG capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. MethodThe clinical data of 39 eyes of 39 patients were retrospectively analyzed. The results of visual acuity, postoperative uveitis, macular odema and Nd:YAG capsulotomy after phacoemulsification and intraocular lens (IOL) implantation were reviewed. ResultsAt the first postoperative and final visits, the visual acuity was better(P＜0.001) than before and during a 324 month follow-up. Within postoperative 3 months, uveitis was more likely in female patients（P＜0.05）and in patients with a high presence of intra-operative posterior synechiae（P＜0.05）. Macular oedema was more likely in patients who developed postoperative uveitis（P＜0.05). Nd:YAG capsulotomy happened often in patients aged 55 years or younger（P＜0.05） and less in patients who had prophylactic systemic corticosteroids（P＜0.05）and in those with 3-piece silicone IOLs （P＜0.05）in comparison with other IOLs. ConclusionThe majority of patients with uveitis achieve improvement of visual acuity after phacoemulsification. Preoperative prophylactic corticosteroids, post-operative intensive corticosteroids and careful IOL selection are helpful to decrease the complications and increase the effect.

Key words: Phacoemulsification, Lens, intraocular, Uveitis, Cataract