重视先天性白内障术后高眼压和青光眼的防治  

Prioritizing prevention and treatment of high intraocular pressure and glaucoma following congenital cataract surgery

作　　者：余敏斌[1] YU Minbin(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2024年第5期229-233,共5页Eye Science

摘　　要：先天性白内障是严重影响婴幼儿视功能的疾病。随着白内障手术和人工晶体植入手术技术的发展,先天性白内障患者术后多可获得高质量的视觉康复。然而,如何更好防治手术相关的不良事件和并发症、先天性白内障伴随的其他眼部发育不良疾病的治疗以及形觉剥夺性弱视的治疗,仍然是先天性白内障手术后需要重视的临床问题。文章对先天性白内障摘除及人工晶体植入术后高眼压和继发性青光眼的发生、相关危险因素、治疗和预防的手段进行总结,以期进一步提高对先天性白内障术后高眼压和青光眼防治的认识,减少术后并发症对视功能造成的进一步损害。Congenital cataract is a significant condition that profoundly impacts the visual function of infants and young children.Advancements in cataract surgery and intraocular lens implantation have enabled the achievement of high-quality visual rehabilitation after congenital cataract surgery.Nevertheless,effective prevention and treatment of surgery-related adverse events and complications,as well as managing other ocular dysplasia and form deprivation amblyopia that may arise in conjunction with the surgery,continue to pose important clinical challenges following congenital cataract surgery.This article provides a comprehensive overview of the occurrence,risk factors,treatment and prevention of high intraocular pressure and secondary glaucoma after congenital cataract and intraocular lens implantation.Its aim is to enhance the comprehension of preventive and therapeutic measures for high intraocular pressure and glaucoma after congenital cataract surgery,thereby minimizing potential postoperative complications and preserving visual function.

关 键 词：先天性白内障 手术相关不良事件 青光眼 术后视觉康复 形觉剥夺性弱视 

分 类 号：R776.1[医药卫生—眼科] R775.3[医药卫生—临床医学] R779.7