儿童白内障联合手术的临床研究  

Clinical research in pediatric cataract surgery

作　　者：黄蔚如 

机构地区：[1]开封市儿童医院眼科,河南开封475000

出　　处：《中华眼外伤职业眼病杂志》2012年第8期624-625,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨儿童先天性白内障手术方法及疗效。方法采用超声乳化器的注吸系统吸出联合后囊连续环形撕囊（PCCC）＋前部玻璃体切除术治疗儿童先天性白内障。结果30例45眼术后1周矫正视力有不同程度地提高，5眼因年幼不会查视力，术后12个月随访40眼，最佳矫正视力（BCVA）≥0．5者30眼，占75．00％，BCVA〈0．5者10眼，占25．00％。术后2例出现后囊浑浊。结论采用白内障超声乳化吸除联合后囊连续环形撕囊及前部玻璃体切除术治疗儿童白内障疗效良好。Objective To evaluate the therapeutic efficacy and surgical techniques of congenital pe- diatric cataract surgery. Methods Thirty children （45 eyes） with congenital cataract were treated by phac-oemulsification [/A system combined with the posterior continuous curvilinear capsulorhexis （ PCCC ） and anterior vitreetomy. After operation, the vision and complication were observed. Results One week after the operation, the postoperative vision of 40 eyes were markedly improved, and 5 eyes were not been checked be- cause of young. 40 eyes were followed-up for 12 months, and 30 eyes （75%） obtained the best corrected visual acuity of 0.5 or above ,and 10 eyes （25%） were lower than 0.5. Posterior capsular rupture occurred in 2 cases. Conclusion The phacoemulsification combined with PCCC and anterior vitrectomy is a effective and safe method for congenital pediatric cataract.

关 键 词：白内障 儿童 超声乳化注吸系统 后囊连续环形撕囊(PCCC) 玻璃体切除术 

分 类 号：R779.66[医药卫生—眼科]