儿童后发性白内障的相关危险因素分析  

Risk factors of after cataract in children

作　　者：梁天蔚[1] 赵军阳[1] 李莉[1] 吴倩[1] 张诚玥[1] 张燕[1] 李程[1] 崔燕辉[1] 刘丽丽[1] 

机构地区：[1]首都医科大学附属北京儿童医院眼科,儿科学国家重点学科,100045

出　　处：《中国斜视与小儿眼科杂志》2016年第3期13-16,12,共5页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨儿童后发障的相关危险因素。方法先天性白内障患儿43人。70眼行晶体摘除+后囊切除+前玻切术,其中联合人工晶体植入术共计10眼。4眼行晶体超声乳化+人工晶体植入术。术后观察:后囊混浊程度,发生时间,发生率。结果后发障的发生率号性别无关;植入人工晶体眼与未植入人工晶体眼后发性白内障的发生率无统计学差异,混浊程度有统计学差异。后囊切开直径不同后发性白内障的发生率、后囊混浊程度有显著统计学差异。6个月龄以下的后发性白内障发生率,混浊程度与大于6个月龄患儿有统计学差异。结论人工晶体的植入未改变后发障的发生率,但减轻了发生程度。Objective To analysis the related risk factors of after cataract in children. Methods 74 eyes of 43 patients with congenital cataract. 70 eyes were performed with a total of lens extraction and posterior capsulotomy and anterior vitrectomy, which combined with intraocular lens implantation for a total of 10 eyes. 4 eyes underwent phacoemulsification and intraoeular lens implantation. Postoperative observation： degree, occurrence time, occurrence rate of after cataract. Results The incidence of after cataract was not related to sex and intraocular lens implantation . The incidence of after cataract were significantly different in different posterior capsulotomy diameter. Of under 6 months of age of patients, the incidence of after cataract was significantly higher than that of the patients with more than 6 months of age. The earlier the age of surgery, the earlier time of the occurrence of after cataract. Conclusion Intraocular lens implantation did not change after cataract incidence, but reduce the after cataract occurrence degree.

关 键 词：后发性白内障 先天性白内障 手术 

分 类 号：R776.1[医药卫生—眼科]