儿童先天性白内障不同手术方式的临床效果观察  

Clinical observation of different surgical methods on congenital cataract

作　　者：王政[1] 沈爱祥[1] 徐志娟[1] 

机构地区：[1]南京中医药大学无锡附属医院眼科

出　　处：《眼外伤职业眼病杂志》2008年第6期477-479,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨减少儿童白内障术后后发障的手术方法。方法15岁以下先天性白内障54例(88眼)。分为3组:A组进行超声乳化吸出术后囊抛光术,共35眼;B组进行超声乳化及后囊连续环形撕囊术,共31眼;C组进行超声乳化、后囊连续环形撕囊及前部玻璃体切除术,共22眼。≥3岁者一期囊袋内植入人工晶状体。观察术后后发障的发生情况。结果A组有31眼在术后25d～3a出现后发障,占88.57%,平均出现时间为11月。B组有23眼在术后45d～2.5a期间出现后发障,占74.19%,平均出现时间为1年5月。C组有3眼在术后50d～2a期间出现后发障,占13.64%,平均出现时间为1年3月。结论3岁以下婴幼儿进行白内障吸出、后囊环形撕囊术并行前部玻璃体切除术,二期植入人工晶状体。3～15岁的患儿进行白内障吸出、后囊环形撕囊术并行前部玻璃体切除术,并囊袋内植入人工晶状体可有效预防后发障的发生。Objective To investigate the method which can reduce the formation of after cataract in children. Methods 54 cases （88 eyes ） congenital catract were divided into group A, B and C according to the different way of operation, Phacoemulsification suction and posterior continuous capsule polishing on 35 eyes in group A. Phacoemulsification suction and posterior continuous circular capsulorhexis（PCCC） on 31 eyes in group B. Phacoemulsification suction, PCCC and anteriorly superficial vitrectomy on 22 eyes in group C. Results 31 eyes formed after cataract in group A from 25 days to 3 years after operation, 88.57% of all and the average appeared time was 11 months. 23 eyes formed after cataract in group B from 45 days to 2.5 year after operation, 74.19% of all and the average appeared time was 1 year and 5 months. 3 eyes formed after cataract in droup C from 50 days to 2 yeaes after operation, 13.64% of all and the average appeared time was 1 year and 3 months. Conclusions Cataract suction, posterior capsulorhexis and anterior vitrectomy can prevent after cataract effectively.

关 键 词：白内障 先天性 手术 后发障 

分 类 号：R779.66[医药卫生—眼科]