先天性白内障手术中23G玻璃体切除系统的应用  

Application of 23-gauge transconjunctival vitrectomy system in pediatric cataract surgery

作　　者：殷丽[1] 孙超[1] 臧涵怡[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214023

出　　处：《中华眼外伤职业眼病杂志》2015年第1期53-55,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：江苏省无锡市医管中心联合攻关项目（YGZX1206）

摘　　要：目的评价23G玻璃体切除系统切除晶状体及前段玻璃体对于儿童先天性白内障的疗效。方法2009年1月至2013年12月在我院行先天性白内障手术年龄0．5～2岁44例（71眼）的临床资料。随机分为两组：A组（对照组）：白内障摘出＋后囊环形撕囊＋前段玻璃体切除；B组（观察组）：23G玻璃体切除系统行晶状体及前段玻璃体切除。比较两组患儿术后视力及术中术后并发症情况。结果B组术后最佳矫正视力较术前提高程度优于A组（t=2．334，P〈0．05）。结论应用23G玻璃体切除系统行晶状体吸出及前段玻切手术，手术安全有效，手术创伤小，操作容易控制，术后炎症反应轻，术后视力恢复较好。Objective To evaluate the effect of lensectomy and anterior vitrectomy with 23-gauge transeonjunctival vitrectomy system for pediatric cataract. Methods Seventy-one eyes of 71 cases with pediatric cataract in our hospital from January 2009 to December 2013 were retrospectively studied. The age range was 0.5 to 2.0 years old and all cases were randomly divided into two groups： group A （control group） received posterior continuous curvilinear eapsularhexis combined with anterior vitreetomy; lensectomy with 23-gauge vitreetomy system was performed to group B （observation group）. The visual acuity, posterior capsular opacifieation and other complications after operation were compared between two groups. Results There was significant difference in the improvement of best corrected visual acuity between two groups after operation （t = 2. 334, P 〈 0.05）. The incidence of corneal edema, iris prolapse, cystoid macular edema and retinal detachment of group B were less than those of group A （ P 〈 0. 05 ）. Conclusion 23 G vitreetomy system for lensectomy is a safe, effective and minimally invasive method for the treatment of pediatric cataract.

关 键 词：玻璃体切除术 23-G 白内障 先天性 白内障 后发性 

分 类 号：R779.66[医药卫生—眼科]