单眼先天性白内障手术的效果  

Clinical observation on surgical efficiency of unilateral congenital cataract.

作　　者：王圣霞[1] 陈伟蓉[2] 邓大明[2] 

机构地区：[1]山东泰安市中心医院,271000 [2]广州中山大学中山眼科中心

出　　处：《中华眼外伤职业眼病杂志》2012年第1期24-27,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察单眼先天性白内障儿童行白内障摘出人工晶状体植入术的效果并探讨其影响因素。方法2～12岁单眼先天性白内障摘出联合I期人工晶状体植入术61例（61眼）。术后随访12—56个月，平均（42．7±10．5）月，记录术前情况及术后最佳矫正视力（BCVA）、双眼视功能、并发症及弱视治疗情况。结果随访期末18例（29．5％）BCVA〉10．5；11例（18．0％）取得良好立体视（〈100”），其中10例BCVA≥O．5。术后视力恢复较好（≥0．5）与较差（〈0．5）者，其晶状体浑浊程度、是否合并斜视及有无做弱视治疗方面的差异有统计学意义（P〈0．05）；术后立体视在BCVA、晶状体浑浊程度、是否合并斜视及有无做弱视治疗方面的差异有统计学意义（P〈0．05）。结论患儿术后视力和立体视的恢复与晶状体浑浊程度、眼部并发症、弱视治疗等多种因素有关；双眼视功能的恢复与术后BCVA关系密切。Objective To observe the clinical effects of unilateral congenital cataract after cataract extraction and primary intraocular lens implantation. Methods 61 consecutive children（2 - 12 years old） of unilateral congenital cataract were operated and followed-up for 12 to 56 months, meanly（42.7 ± 10.5 ） months. Best corrected visual acuity （ BCVA）, presence of stereopsis, amblyopia and other complications were recorded. Results BCVA was 0.5 or better in 18 eyes （29.5%） and good binocular function（ ≤100） was achieved in 11 children （ 18.0% ）. The extent of cataract, absence of strabismus and regular treatment on amblyopia had effect on BCVA （P 〈 0. 05 ）. The restoration of binocular function or not in the patients had statistical difference in BCVA, extent of cataract, absence of strabismus and regular treatment of amblyopia（P 〈 0. 05）. Conclusion Multiple factors affect on visual acuity and binocular function such as extent of cataract, absence of strabismus and regular treatment on amblyopia. Binocular function correlated closely with good BCVA.

关 键 词：白内障 先天性 单眼 手术 双眼视觉 斜视 弱视 

分 类 号：R779.66[医药卫生—眼科]