摘要
目的探讨先天性白内障手术的时机及疗效.方法62例(102眼)先天性白内障施行透明角膜切口白内障摘出或联合人工晶状体植入术.结果62例(102眼)术后视力有明显提高.除31眼因年龄小不能配合视力检查外,其余71眼术后矫正视力0.02～0.25者20眼(28.17%);0.3～0.5者25眼(35.21%);0.6～1.0者21眼(29.58%);1.0～1.5者5眼(7.04%);术后并发症主要有角膜水肿、虹膜后粘连、人工晶状体瞳孔夹持、后发性白内障和人工晶状体'茧样膜'形成.结论由于先天性白内障可导致儿童不可逆的视觉损伤,因此早期治疗是必要的,且越早越好.单眼白内障无论年龄大小均应行人工晶状体Ⅰ期植入;3岁以下的双眼先天性白内障可先行白内障摘出,学龄前行人工晶状体Ⅱ期植入,术后采取积极的光学矫正措施和弱视训练.
Objective To study the surgical timing and effectiveness of congenital cataract. Methods Cataract extraction combined with intraoeular lens （IOL） implantation in transparent corneal incision was performed in 62 eases （102 eyes） of eongenital cataract. Results Postoperatively, visual acuity improved in 71 eyes, 5 eyes （ 7.04% ） achieved visual acuity 〉 1.0. 21 eyes （29.58%） had visual acuity ranging from 0.6 to 1.0. 25 eyes （35.21 % ） visual acuity was ranging from 0.3 to0.5. And 20 eyes （28.17） visual aenity was〈0.3. The remaining 30 eyes （30.39%） were not able to cooperate with performing the vision check. The main complications included cornea edema, posterior synechia, pupillary capture, after cataraet. Conclusion Congenital cataract can lead the un-reversible damage of visual acuity, Early treatment to congenital cataract is correlated to gond visual prognosis, which is highly recommended. For the single eye cataract, intracocular lens （IOL） should be implanted during the first period no matter how old the child is. For the congenital cataract in both eyes of the children aging 3-4 years old, cataract can be extracted first and IOL implantatim performed before school. And vision training is help ul to increase the postoperative visual acuity.
出处
《眼外伤职业眼病杂志》
北大核心
2005年第8期596-598,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
先天性白内障
手术
人工晶状体
弱视
congenital cataract
surgery
intraocular lens
amblyopia
