Clinical analysis of ischemic ophthalmopathy after cataract phacoemulsification
10.13389/j.cnki.rao.2017.0045
- VernacularTitle:白内障超声乳化吸出术后缺血性眼病的临床研究
- Author:
Xiaojin ZHAO
;
Xiangqi DING
;
Lifeng QIAN
- Keywords:
cataract;
phacoemulsification;
ischemic optic neuropathy;
central retinal artery occlusion
- From:
Recent Advances in Ophthalmology
2017;37(2):172-174
- CountryChina
- Language:Chinese
-
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.
