低龄单眼先天性白内障一期人工晶状体植入术效果分析  

Clinical analysis on the efficacy of primary intraocular lens implantation in monocular pediatric congenital cataract of young children

作　　者：曾琨 冯其高 马大卉 路璐 林宝涛 

机构地区：[1]深圳市眼科医院暨南大学附属深圳眼科中心深圳市眼科重点实验室,深圳518000

出　　处：《中华眼外伤职业眼病杂志》2018年第1期37-39,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：深圳市科技计划项目（JCYJ20150402152130691,JCYJ20150402152130692）

摘　　要：目的分析低龄单眼先天性白内障手术联合一期人工晶状体植入的临床效果。方法回顾性分析17例7个月～2岁儿童单眼先天性白内障手术联合一期人工晶状体植入术的效果，观察术后戴镜及遮盖治疗后视力恢复情况及并发症。结果随访12～40个月，随访期末，最佳矫正视力〈0．1者8例（47．06％），0．1～0．3者3例（17．65％），0．4～0．5者4例（23．53％），0．6～0．7者2例（11．76％）。其中1例术后视轴区浑浊，2例瞳孔膜闭，此3例进行再次手术，另外1例前房积血，保守治疗好转。3例确诊青光眼。2例可疑青光眼。结论对低龄的单眼先天性白内障患儿，白内障手术联合一期人工晶状体植入较为安全有效。Objective To analyze clinical efficacy of primary intraocular lens （IOL） implantation in monocular pediatric congenital cataract children of young. Methods The data of 17 children with 7 months-2 years old congenital cataract were collected and all cases received lens extraction combined with primary IOL implantation. The efficacy, complications and visual acuity after worn glasses and occlusion therapy were retrospectively analyzed. Results The follow-up time was 12-40 months. At the end of follow-up, the BCVA 〈 0.1 were in 8 cases （47.16%）, 0.1-0.3 in 3 cases （17.64%）, 0.4-0.5 in 4 cases （23.53%） , and 0.6-0.7 in 2 cases （ 11.76% ） , respectively. Second surgery was performed in 3 cases （17.64%）. Among them, visual axis opacification occurred in 1 case and occlusion of the pupil in 2 cases. One case with hyphema was aborted after medicine treatment. Glaucoma was diagnosed in 3 cases （ 17.64% ） and suspected glaucoma in 2 cases （ 11.76% ）. Conclusion Lens extraction combined with primary IOL implantation is a safe and effective method for monocular pediatric congenital cataract of young children.

关 键 词：白内障 先天性 单眼 低龄 植入术 晶状体 人工 一期 

分 类 号：R779.6[医药卫生—眼科]