儿童白内障临床治疗疗效观察  

The effect of treatment of pediatic cataract

作　　者：杨菊珊[1] 

机构地区：[1]河南焦作焦煤集团中央医院眼科,454000

出　　处：《中国斜视与小儿眼科杂志》2012年第2期73-75,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的观察儿童自内障临床治疗后的疗效方法对30例（42只眼）14岁以下儿童白内障行抽吸＋人工晶体植入术后，选择不同方法进行弱视训练，随访3年，观察视功能恢复情况。结果（1）视力：术后最好矫正视力0．5以上13例15只眼；0．2～0．412例22只眼；0．1以下5例5只眼。弱视治疗3个月至3年后，最好矫正视力0．5以上15例22只眼，0．2—0．414例19只眼，0．1以下1例1只眼。（2）并发症：纤维素性葡萄膜炎35只眼，后发障8只眼。（3）双眼视功能：30例儿童白内障患者，具有融合功能15例，立体视觉5例。结论儿童白内障不单是手术治疗，弱视治疗也同样重要。Objective To observe curative effect of clinical treatment after pediatric cataract. Methods 42 eyes of pediatric cataract with extraction and intraocular lens implantation under 14 years in 30 patients, which adopt different methods to proceed to vision training according to the conditions of amblyopia, 3 years follow-up to observe the recovery of visual function. Results （1） Vision：17 eyes were 0.5 or above of the best corrected visual acuity in 13 patients; 22 eyes of 12 cases were 0.2 to 0.4; 5 eyes of 5 cases were 0.1 or below. Amblyopia treatment for 3 months to 3 years, 22 eyes were 0.5 or above of the best corrected visual acuity in 15 patients; 19 eyes of 14 eases were 0.2 to 0.4; 1 eye of 1 case was 0.1 or below. （2） eomplications：35eyes with fibrinous uveitis, 8eyes with posterior capsulcopacification. （3） binocular vision：30 patients of pediatric cataract with a fusion in 15cases, stereopsis vision in 5cases, strabismus in 5 cases. Conclusions The treatment of pediatric cataract is not just surgery treatment, amblyopia treatment is equally important.

关 键 词：儿童白内障 手术 弱视 双眼视功能 

分 类 号：R779.66[医药卫生—眼科]