先天性白内障手术中后囊膜切开联合前节玻璃体切割的应用  

Application of posterior capsulorhexis and anterior vitrectomy during congential cataract surgery.Zhao

作　　者：赵秋溪[1] 刘北平[1] 张铁民[2] 董微丽[2] 苏畅[2] 

机构地区：[1]北京电力医院眼科,100073 [2]承德医学院附属医院眼科

出　　处：《中国斜视与小儿眼科杂志》2006年第3期I0002-I0004,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的观察超声乳化、后囊截开联合前段玻璃体切割术治疗先天性白内障的效果。方法对先天性白内障患者50例(93只眼)进行回顾性研究,2002年至2005年31例(58只眼)先天性白内障的病例实行超乳(或I/A抽吸)白内障联合前段玻璃体切割术治疗,2000年至2002年19例(35只眼)未行后囊膜切开及前段玻璃体切割术。对其随访观察,平均随访时间为30月。结果后发障的发生情况,观察组3眼(7%),对照组9眼(26%),两组对比差异具有显著性。结论白内障超乳(或I/A抽吸)联合前段玻璃体切割术对先天性白内障的治疗,能够有效的预防术后后发障的形成。Objective To observe the clinical effects of posterior capsulorhexis with anterior vitrectomy （PCCC＋AV） for congenital Cataract. Methods 93 eyes of 50 congential cataract children were studied retrospectively. 58 eyes of 31 patients had phacoemulsification or lens aspiration and anterior vitrectomy from 2002 to 2005. Anterior vitrectomy were not performed on 35 eyes of 19 patients from 2000 to 2002. These cases were followed up for an average of 30 months Results The incidence of optic axis opaque in the chiliren with posterior capsulorhexis and anterior vitrectomy was significantly lower than that in the chileren without PCCC ＋AV （P 〈0.05） Conclusion The phacoemulsification or lens aspiration with posterior capsulorhexis and anterior vitrectomy for congential catract is an effective method to prevent posterior capsular opacification （PCO）.

关 键 词：先天性白内障 后囊连续环形撕囊 前段玻璃体切割 后发性白内障 

分 类 号：R779.66[医药卫生—眼科]