全麻下儿童后发性白内障Nd:YAG激光治疗的临床效果  

The clinical effect of capsulotomy with Nd:YAG laser under general anesthsia for children after cataract

作　　者：王永淑[1] 宋丽莉[1] 魏晓月[1] 

机构地区：[1]洛阳市中心医院眼科,河南洛阳471009

出　　处：《眼外伤职业眼病杂志》2008年第10期801-803,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨氯胺酮全麻下Nd∶YAG激光治疗儿童后发性白内障的临床效果。方法对23例(26眼)儿童后发性白内障在氯胺酮全麻后应用Nd∶YAG激光进行后囊切开,术后随访6个月,观察并分析术后视力及并发症情况。结果激光截囊成功率100%,术后视力提高21眼(80.77%),稳定5眼(19.23%),无视力下降者。并发症有前房积血3眼,人工晶状体损伤6眼,前房炎症反应7眼,眼压升高2眼。结论对不能配合的儿童后发性白内障,在氯胺酮全麻下行Nd∶YAG激光后囊切除术是一种安全有效的治疗方法。Objective To evaliate the clinical effect of capsulotomy with Nd： YAG laser under general anesthesia with chloroascetone in children after cataract. Methods Capsulotomy with Nd： YAG laser were done in 23 cases （26 eyes） of children after cataract. All cases were followed up for 6 months. The postoperative visual acuity and complication were observed and analyzed. Results The rate of successful capsulotomy was 100%. The visual acuity was improved in 21 eyes （80.77%） and stabilized in 5 eyes （19.23%）, There was no visual acuity decrease. Postoperative complication included anterior chamber haemorrhage in 3 eyes, IOL injury in 6 eyes, anterior chamber inflammation in 7 eyes, high intraocular pressure in 2 eyes. Conclusion Nd： YAG laser capsulotomy technique is a safe and effective method under general anesthesia for the uncooperative children with after cataract.

关 键 词：氯胺酮 全麻 儿童 白内障 白发性 ND:YAG激光 后囊切开术 

分 类 号：R779.66[医药卫生—眼科]