剥脱综合征14例临床疗效分析

Analysis on clinical effects of 14 patients with exfoliation syndrome

关键词:  剥脱综合征  白内障  手术

Key words:  exfoliation syndrome  cataract  operation

摘要:

［目的］分析剥脱综合征的临床特点及手术治疗效果。［方法］回顾性分析14例18眼剥脱综合征的临床特点及手术治疗的并发症。［结果］所有剥脱综合征患者均合并白内障，房角均为开角，有5眼（27.78%）合并青光眼；11眼瞳孔不易散大；3眼行白内障超声乳化吸出并人工晶状体植入联合小梁切除术，13眼行白内障超声乳化吸出联合人工晶状体植入术，2眼行白内障囊外摘除联合人工晶状体植入术；术中1眼晶状体后囊破裂，1眼晶状体悬韧带离断，术后13眼不同程度出现前房反应，1眼人工晶状体全脱位，行再次人工晶状体缝合术；术后眼压较术前下降。［结论］剥脱综合征常合并白内障、青光眼，且瞳孔不易扩大，悬韧带脆弱，手术中并发症机率高，术后反应较重。术前充分准备，术中注意操作细节，术后密切随访，疗效满意。

Abstract:

［Objective］To analyze the clinical character and operation treatment effect of exfoliation syndrome.［Methods］To analyze the clinical character and operation treatment effect of 14 cases (18 eyes) of exfoliation syndrome retrospectively.［Results］All the cases accompany with catacact with open anterior chamber angle. 5 eyes with glaucoma. 11 eyes with the pupil difficult to enlarge. 3 eyes were performed the operation of phacoemulsification and IOL implantation and trabeculaectomy. 13 eyes were performed the operation of phacoemulsification and IOL implantation. 2 eyes were performed the operation of ECCE. During operation 1 eye with rupture of posterior capsular and 1 eye with rupture of lens zonule. After operation 13 eyes with different exutation in anterior chamber and 1eye with IOL dislocation which was performed IOL suture operation. The IOP of all eyes were lower than that of pre-operation.［Conclusion］Exfoliation syndrome often accompany with cataract and glaucoma. The pupil was difficult to be enlarged and the lens zonule was weak. The complication during operation seems higher and exudation after operation seems serious. So the preparation before operation and perfect procedure during operation and closely following up are very important.