儿童先天性白内障患者术后近视漂移的相关因素  

Associated factors of myopic shift after surgery for congenital cataract children

作　　者：杜秋萱 元静 苏文洁 黄钰森 Du Qiuxuan;Yuan Jing;Su Wenjie;Huang Yusen(Eye Institute of Shandong First Medical University,Qingdao Eye Hospital,State Key Laboratory Cultivation Base-Shandong Provincial Key Laboratory of Ophthalmology,Qingdao 266071,China;School of Ophthalmology,Shandong First Medical University,Jinan 250117,China)

机构地区：[1]山东第一医科大学附属眼科研究所青岛眼科医院、山东省眼科学重点实验室——省部共建国家重点实验室培育基地,青岛266071 [2]山东第一医科大学眼科学院,济南250117

出　　处：《国际眼科纵览》2023年第5期452-455,共4页International Review of Ophthalmology

基　　金：泰山学者(ts20190983)。

摘　　要：儿童先天性白内障患者术后发生近视漂移是常见的临床问题,相关因素尚处于探索阶段。其中,白内障摘除及人工晶状体(intraocular lens,IOL)植入时,患者年龄越小,术后眼轴增长量和近视漂移程度越大;另外,白内障摘除后,采取IOL植入或光学矫正无晶状体眼,长期随访后眼轴增长量相似;并发症方面,视轴混浊和青光眼均可能增加近视漂移程度。明确植入IOL的最佳时间点、精准测算IOL屈光度、及时发现和处理相关并发症,对提高患者长期视觉质量,减少过度近视漂移有重要临床意义。It is a common clinical scientific problem that myopic shift after congenital cataract surgery in children.The influencing factors are being explored.Among which,the younger the patient when cataract extraction with intraocular lens(IOL)implantation is performed,the greater the myopic shift.Moreover,patients can be treated with IOL implantation or optical correction after cataract extraction,achieving similar axial growth in a long-term follow-up period.The visual axis opacity and glaucoma after surgery can both increase the myopic shift.Clarify the best time point for IOL implantation,accurately calculate the IOL power,reasonable planning of follow-up time,has important clinical significance to improve the long-term visual quality of patients and reduce excessive myopic shift.

关 键 词：先天性白内障 近视漂移 眼轴 人工晶状体 

分 类 号：R779.6[医药卫生—眼科]