儿童白内障摘除及人工晶体植入术  

Cataract extraction with intraocular lens implantation in children.

作　　者：许孝义[1] 崔冬梅[1] 李运[1] 肖瑛[1] 

机构地区：[1]济南山东大学第二医院眼科,250033

出　　处：《中国斜视与小儿眼科杂志》2001年第3期100-102,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的　探讨儿童白内障摘除联合前段玻璃体切割及人工晶体植入的临床疗效。方法　 41例 (5 9只眼 )儿童先天性白内障及外伤性白内障施行现代囊外摘除联合前段玻璃体切割 ,对 3岁以上儿童 3 8例 (5 3只眼 )同期成功植入后房型人工晶体。结果　 3岁以上儿童术后裸眼视力≥ 0 3者先天性白内障 2 5只眼 (69 4% ) ,外伤性白内障 1 4只眼 (82 4% )。术后 ,先天性白内障 1只眼发生后囊混浊 ;外伤性白内障 3只眼轻度瞳孔上移 ,1只眼轻度晶体偏位。影响术后视力提高的主要原因是先天性白内障的重度弱视和外伤性白内障的角膜瘢痕。结论　儿童白内障后囊膜切开联合前段玻璃体切割是防止术后并发障的有效方法。Objective To research the therapeutic effect of cataract extraction with anterior segment vitrectomy or intraocular lens implantation in children. Methords Cataract extraction with anterior segment vitrectomy was done on 41 cases (59 eyes) suffered from congenital and traumatic cataract in children, 38 cases (53 eyes) older than 3 years of age were implanted IOL in-the-bag simultaneously. Results Postoperatively, the uncorrected visual acuity 0 3 or better were 25 eyes (69 4%) of congenital cataract and 14 eyes (82 4%) of traumatic cataract in children at 3 years older, 1 eye occurred after cataract in congenital cataract, 3 eyes pupie upward slight movement and 1 eye with ectopia lens in traumatic cataract. The main reason of affecting visual improvement is the corneal scar in traumatic cataract and severe amblyopia in congenital cataract. Conclusions It is an useful methord to prevent the occurring from after cataract when being undergone the posterior capsulotomy combined with anterior segment vitrectomy in children′s cataract.

关 键 词：儿童 白内障 玻璃体切割 人工晶体植入术 白内障摘除术 

分 类 号：R779.66[医药卫生—眼科]