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目的 :分析白内障合并眼底病的临床特点.方法 :对我院 1998年 11月~ 2 0 0 0年 3月收治的 2 8例 (37只眼 )白内障合并眼底病的患者进行临床观察 ,对其特点进行分析和讨论.结果 :合并高度近视 18例 2 5只眼 ,视网膜色素变性 2例 4只眼 ,糖尿病性视网膜病变 4例 4只眼 ,玻璃体增殖 2例 2只眼 ,葡萄膜炎 1例 1只眼 ,视网膜脱离 1例 1只眼.术后中心视力0 3以下 ,占 45 9%,0 5以下占 83 7%.结论 :白内障合并眼底病的患者术前应详细询问病史 ,并利用双目间接检眼镜 ,眼部A、B超 ,眼电生理等检查提高术前眼底病的检出率 ,为治疗及术后视力预后提供依据.","Objective:To analize and estimate the clinical characteristics of cataract accompaning fundal disease.The raising discovering ratio of fundal disease before surgery can provide proof for therapy and postoperative visual acuity.Methods:We observe and discuss the clinical characteristics of 28 cases(37 eyes) of cataract accompaning ocular fundal disease which treated by our depatment from November,1998 to March,2000.It included 25 eyes of 18 cases high myopia,4 eyes of 2 cases retinal pigment degeneration,4 eyes of 4 cases diabetic retinopathy,2 eyes of 2 cases proliferative vitreopathy.1 eye of 1 case uveitis,and 1 eye of 1 case retinal detachment.459% of 28 cases had vision<03,and 837% of these cases had vision<05 after surgery.Conclusions:If the ocular fundus of patients who had cataract with ocular fundal disease,can be observed before surgery,their postoperative central visual was low.So asking the patients situation in detail,using binocular indirect ophthalmoscope combined the examination of A mode and B mode ultrasonography and visual electrophysiology to discover ocular fundus disease before surgery is very important.It is also a useful proof for therapy and postperative visual acuity estimation.