后囊连续环形撕囊及人工晶体后囊嵌顿在儿童白内障手术中的应用  

The application of posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens in pediatric cataract surgery

作　　者：刘方毅[1] 崔先进[1] 高云霞[1] 

机构地区：[1]山东省临沂市人民医院眼科,276003

出　　处：《中国斜视与小儿眼科杂志》2004年第3期115-117,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的研究儿童白内障摘除术后的后囊处理方法。方法对24例29只眼儿童白内障手术中采用后囊连续环形撕囊联合人工晶体视区后囊嵌顿,术后随访13±5.76个月。结果21只眼玻璃体前界膜完整,人工晶体视区后囊嵌顿成功,其中2只眼术后3个月视轴区玻璃体前界膜轻度混浊,其余19只眼视轴区保持透明。结论后囊连续环形撕囊联合人工晶体视区后囊嵌顿是预防儿童白内障人工晶体植入术后后囊混浊,减少对玻璃体、视网膜干扰的可行方法。Objective To evaluate the management of the posterior capsule in pediatric cataract with intraocular lens (IOL) implantation. Methods Posterior continuous curvilinear capsulorhexis with optic capture of the IOL was performed in 24 of 29 pediatric cataract patients. Mean follow-up in the 29 eyes was 13 ±5.76 morths. Results 21 eyes remained integrate anterior limiting membrane of vitreous and achieved successful optic capture of the IOL. Slightly opacification in visual anxis of anterior vitreous limiting membrane happened in 2 eyes, and other 19 eyes obtained a clear visual anxis. Conclusion Posterior continuous capsulorhexis with optic capture of the IOL, which reduced the interference to vitreous and retina, could be a feasible management to prevent the secondary opacification of the posterior capsule after pediatric cataract surgery.

关 键 词：嵌顿 后囊连续环形撕囊 人工晶体 术中 白内障手术 术后 儿童 界膜 玻璃体 视轴 

分 类 号：R779.66[医药卫生—眼科]