微创玻璃体切割系统应用于儿童后发性白内障的疗效  

Efficacy of vitrectomy system in treatment of congenital cataract

作　　者：鲍迅[1] 赵伟[1] 朱靖[1] 姚勇[1] 

机构地区：[1]南京医科大学附属无锡人民医院眼科,江苏省214023

出　　处：《江苏医药》2014年第15期1769-1771,共3页Jiangsu Medical Journal

摘　　要：目的评价微创玻璃体切割系统应用于预防儿童后发性白内障(PCO)的疗效。方法儿童先天性白内障87例(112眼)随机分为两组:A组43例56眼,采用23G玻璃体切割系统行晶状体切除及前段玻璃体切割;B组44例56眼,应用常规超声乳化UA头吸除晶体皮质后用前节玻璃体切割机切除前部玻璃体。比较两组术后视力、手术相关并发症和PCO发生率。结果两组术后视力相仿(P>0.05)。A组PCO发生率低于B组(1.79%vs.12.50%)(P<0.05)。A组未见明显并发症,B组7眼有少量前房渗出。结论 23G玻璃体切割系统行晶状体切除及前段玻璃体切割手术是一种安全有效的治疗儿童先天性白内障的手术方式。Objective To evaluate the effects of 23-gauge-lentectomy in the treatment of posterior capsular opacity （P CO） in childreru Methods Eighty-seven children with cataracts （112 eyes） were randomly divided into two groups of A（using 23-gauge-lentectomy, 43 cases, 56 eyes） and B（using conventional irrigation-aspiration, 44 cases, 56 eyes）. The visual acuity, incidence of PCO and other complications were compared between two groups. Results The vision after surgery in both groups was similar（P〉0. 05）. The incidence rate of PCO was less in group A than that in group B （1.79% vs. 12.50%） （P〈0. 05）. In follow-up, the children in group A had no significant complications, but 7 eyes in group B had a small amount of anterior chamber effusion. Conclusion The lentectomy and vitrectomy using 23-gauge instrument is a effective and minimally invasive method for treating PCO in children with cataracts.

关 键 词：玻璃体切割术 先天性白内障 后发性白内障 

分 类 号：R779[医药卫生—眼科]