真性小眼球合并先天性白内障手术后临床效果的观察  

Observation of congenital cataract surgery in patients with Nanophthalrnos

作　　者：刘丽丽[1] 施玉英[2] 徐艳萍[1] 卢建民[2] 陈超[2] 

机构地区：[1]北京北京市监狱管理局中心医院眼科,100054 [2]首都医科大学附属北京同仁医院眼科中心,100730

出　　处：《中国实用眼科杂志》2009年第12期1419-1421,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察手术治疗真性小眼球先天性白内障的疗效。方法总结7例12只眼真性小眼球先天性白内障患者的年龄、眼轴长度、角膜直径、手术方式、术后最佳矫正视力（BCVA）、术中术后并发症等，分析手术效果，分别对于年龄、角膜直径、眼轴长度同术后最佳矫正视力做相关性分析。结果12只眼术后最佳矫正视力0．10±0．06（0．01～0．20），手术时的年龄与术后最佳矫正视力呈负相关（P〈O．05），相关系数=一0．669，角膜直径同术后最佳矫正视力、眼轴长度同术后最佳矫正视力无明显相关性（毋0．05）。12只眼分别采用四种不同的手术方式。并发症：2只眼术后2年后出现青光眼，2只眼出现后发性白内障，2只眼术中发生后囊破裂。1只眼角膜直径过小，玻璃体切割头自晶状体后部切除晶状体。结论手术年龄越早，越能够有效地提高真性小眼球合并先天性白内障术后视力，手术方式不是单一的，角膜过小的患者，玻璃体切除头自晶状体后部切割可以成为选择。Objective To evaluate the results and complications of cataract surgery in patients with nanophthalmos. Methods The records of 12 eyes from 7 patients with nanophthalmos were reviewed for cormeal diameter, axial length, ocular surgeries, visual acuity, and complications. The correlation of the BCVA and axial length, BCVA and age, BCVA and corneal diameter were analyzed statistically. Results The BCVA was from 0.01 to 0.20, the average visual acuity was 0.10± 0,06, the average corneal diameter was 7.87± 0.91 （6-9mm）, the average axial length was 19.52± 1.33mm （16.72mm-20.56mm）, there were nega- tive correlation between the BCVA and the operation age, （P=0.017）, （r=-0.669）, there was no correlation in the BCVA and axial length or corneal diameter. Those cases received four kinds of operations. Complications were as the follows： glaucoma happen in 2 eyes, disruption of posterior poles happened in 2 eyes, none of them had uvea percolation. Conclusions The earlier operation is adopted, the better visual acuity it can get. Methods of operations are not unique. Vitrectomy could be chosen in the eye which corneal diameter is too small.

关 键 词：真性小眼球 白内障 先天性 

分 类 号：R776.1[医药卫生—眼科] R775.3[医药卫生—临床医学]