先天性白内障手术45例的临床回顾分析  

Retrospective Study on Congenital Cataract Treatment in 45 Cases

作　　者：康建芳[1] 刘芳艳[1] 莫劲松[1] 闫晓河[1] 

机构地区：[1]暨南大学附属深圳眼科医院,广东深圳518034

出　　处：《中外医学研究》2015年第22期7-8,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2014年广东省自然科学基金博士科研启动项目(项目编号:2014A030310084)

摘　　要：目的：观察先天性白内障患儿实施手术治疗后的效果及强调患儿术后视觉重建的重要性。方法：回顾性分析2013年1月-2014年12月在笔者所在医院行白内障超声乳化摘除联合人工晶体植入手术45例63眼的临床资料,观察手术后视力变化和并发症情况。结果：63眼中,术后矫正视力〈4.0共2眼（3.2%）,4.0-4.6共24眼（38.1%）,〉4.6共37眼（58.7%）;术后出现角膜内皮水肿10眼（15.9%）,后囊膜混浊3眼（4.8%）,后弹力层皱褶8眼（12.7%）,经治疗后视力明显改善。结论：先天性白内障手术疗效确切,可为患儿提供更大的视觉恢复空间,但术后复诊和视觉重建是先天性白内障治疗不容忽视的难点。Objective： To observe the effect of congenital cataract surgery and highlight the significance of optic rehabilitation postoperatively by a retrospective study with congenital cataract.Method： A retrospective analysis of clinic data of 63 eyes from January 2013 to December 2014 who adopted congenital cataract surgery.To observe visual acuity changes and complications after surgery.Result： 〈4.0 in 2 eyes（3.2%）, 4.0-4.6 in 24 eyes（38.1%）, among them after surgery, 〉4.6 in 37 eyes（58.7%）.Corneal endothelial edema was seen in 10 eyes（15.9%）.Posterior capsule opacification was found in 3 eyes（4.8%） and descemet folds was seen in 8 eyes（12.7%）.The vision after treatment was significantly improved.Conclusion： Congenital cataract surgery is effective, successful management of congenital cataract surgery, the duration of postoperative supervision and the training of optical rehabilitation are essential for the treatment of congenital cataract.

关 键 词：先天性白内障 手术治疗 屈光矫正 

分 类 号：R779.66[医药卫生—眼科]