先天性白内障儿童患者须谨慎应用多焦点人工晶状体  

Cautious application of multifocal intraocular lenses in children with congenital cataracts

作　　者：竺向佳 樊帆 Zhu Xiangjia;Fan Fan(Department of Ophthalmology,Eye&ENT Hospital of Fudan University,NHC Key Laboratory of Myopia and Related Eye Diseases,Key Laboratory of Myopia and Related Eye Diseases,Chinese Academy of Medical Sciences,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科、国家卫生健康委员会/中国医学科学院近视眼及相关眼病重点实验室,上海200031

出　　处：《中华眼科杂志》2024年第6期490-493,共4页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(82122017,82201162,82271069)

摘　　要：多焦点人工晶状体(MIOL)在成人白内障摘除手术中具有较好的有效性和安全性,但在儿童领域面临诸多挑战。本文从儿童生物学测量困难及白内障摘除手术后屈光状态可预测性差,MIOL对儿童患者无长期脱镜优势,对矫正儿童弱视无明显优势,以及可能增加二次手术率等方面进行阐述,因目前儿童MIOL植入术的临床证据尚不充分,故提出先天性白内障儿童患者须谨慎应用MIOL,为临床相关工作提供参考,并希望临床开展更为深入的研究。Multifocal intraocular lenses(MIOLs)have demonstrated efficacy and safety in adult cataract surgery,yet they encounter many challenges in pediatric applications.This article elaborates on the difficulties in biometric measurements in children,the unpredictability of postoperative refraction outcomes,the lack of long-term spectacle independence in children with MIOLs,the absence of significant advantages in correcting childhood amblyopia,and the potential increase in the rate of secondary surgeries.Due to the insufficient clinical evidence supporting the use of MIOLs in children at present,it is proposed that MIOLs be cautiously applied to children with congenital cataracts in clinical practice.Further research in this area is encouraged.

关 键 词：白内障 多焦点人工晶状体 晶体植入 眼内 儿童 

分 类 号：R776.1[医药卫生—眼科]