先天性白内障人工晶状体植入术后眼球发育和屈光的变化  

Changes of eye development and refraction after intraocular lens implantation in congenital cataract

作　　者：杨爽[1] 宋旭东[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科学与视觉科学重点实验室,100730

出　　处：《国际眼科纵览》2012年第5期327-330,共4页International Review of Ophthalmology

摘　　要：严重影响儿童视觉发觉的先天性白内障需要接受手术治疗，通过恢复视轴的清晰，为视觉发育创造条件。手术方式以白内障摘除联合一期或二期人工晶状体植入术为主，患儿年龄是决定手术时机和方式选择的重要因素。由于植入人工晶状体的度数固定，破坏了儿童眼球发育过程中各屈光因素演化的平衡状态，使得术后患儿的眼球发育和屈光状态可能受到诸多手术相关因素及人工晶状体本身的影响，主要体现在眼轴长度变化及近视漂移两方面。（国际眼科纵览，2012，36：327—330）Congenital cataract which has severe impact on children＇ s visual development requires operation. This procedure can helps children to regain effective visual stimulation by removing the cloudiness of optic axis. Cataract surgery with primary or secondary intraocular lens （IOL） implantation has become the main therapeutic procedure for congenital cataract patients. operation and the chosen of procedure is the age of patients The important factor which decides the timing of As the power of intraocular lens is fixed, the in- herent balance of eye development in children is broken. Many factors related to the operation, such as the age at surgery, the laterality and the decision of IOL power, have influenced on the eye development and re- fraction changes. We mainly care about the changes of the axial length and the myopic shift. （Int Rev Oph- thalmol. 2012. 36：327-3303

关 键 词：先天性白内障 眼球发育 人工晶状体 近视漂移 

分 类 号：R779.66[医药卫生—眼科]