国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (3): 237-240.doi: 10.3760/cma.j.issn.1673-5803.2021.03.012

• 综述 • 上一篇    下一篇

血小板减少症患者白内障手术的风险及对策

孙彩侠,袁非   

  1. 复旦大学附属中山医院眼科,上海 200032
  • 收稿日期:2020-12-23 出版日期:2021-06-22 发布日期:2021-06-22
  • 通讯作者: 袁非,Email:yuan.fei@zs-hospital.sh.cn

Strategy and challenges of phacoemulsification in patients with thrombocytopenia

Sun Caixia, Yuan Fei   

  1. Department of Ophthalmology, Zhongshan Hospital of Fudan University, Shanghai 200032, China
  • Received:2020-12-23 Online:2021-06-22 Published:2021-06-22
  • Contact: Yuan Fei, Email: yuan.fei@zs-hospital.sh.cn

摘要: 白内障患者若血小板计数低于正常值的下限,在白内障术中或术后可能发生切口部位出血、眼内血管自发性出血及前房积血等,严重影响手术的安全性和手术效果。对于血小板计数极低的患者,术前应输注血小板或采用药物提高血小板计数。此外,白内障术前应谨慎评估血小板减少患者的全身情况及原发疾病,与血液科医师合作,选择最佳诊治方案。(国际眼科纵览,2021, 45:237-240)


关键词: 血小板减少, 白内障/外科学, 超声乳化白内障摘除术

Abstract: If the platelet count of cataract patients is below the lower limit of normal, incision bleeding, spontaneous hemorrhage of intraocular blood vessels and hyphema may occur during or following the cataract surgery, which seriously affects the safety and effect of surgery. For patients with very low platelet count, platelet transfusion or drugs should be used to increase platelet count before operation. In addition, the systemic condition and primary disease of patients with thrombocytopenia should be carefully evaluated before cataract surgery, and the best treatment plan should be chosen in cooperation with hematologists. (Int Rev Ophthalmol, 2021, 45: 237-240)


Key words: thrombocytopenia, cataract/surgery, phacoemulsification