摘要
目的:观察双撕囊联合前部玻璃体切除治疗先天性白内障的疗效。方法:对31例52眼2月龄～12岁先天性白内障患儿实行白内障囊外摘除、后囊连续环形撕囊、前部玻璃体切除术,联合Ⅰ期或Ⅱ期IOL植入,平均随访16mo。结果:31例患儿之中有27例44眼术后能检查视力,最佳矫正视力>0.5者23眼,>0.3者12眼,<0.3者9眼,另外,<2岁的患儿4例8眼无法进行视力表检查,但相对术前跟随光亮或有注视目标的能力有所提高。术后并发症:后发性白内障3眼、葡萄膜炎7眼、角膜水肿5眼,人工晶状体偏位、黄斑囊样水肿、视网膜脱离等严重并发症尚未出现。结论:双撕囊联合前部玻璃体切除术联合IOL植入能预防后发性白内障等并发症的发生,是比较安全有效的治疗儿童先天性白内障的手术方式。
AIM： To study the effect of double capsulorhexis combined with anterior vitrectomy （AV） in congenital cata Fact. METHODS： Thirty-one cases （52 eyes） （age ranging from 2 months to 12 years） underwent posterior continuous circular capsulorhexis （PCCC） and anterior vitrectomy after cataract extraction, and intraocular lens（IOL） were implanted in some eyes. The median follow-up time was 16 months. RESULTS. Among the 44 eyes of 27 patients who could do the visual examination, 23 eyes had a corrected visual acutiy of 0. 5 or better; 12 eyes had a corrected visual acutiy of 0.3 or better; 9 eyes had a corrected visual acuity of 0.3 or below. 8 eyes in much younger children who could not receive visual examination had better capability of light following and visual fixation after operation. The postoperative complications included posterior capsular opacity（PCO） in 3 eyes, uveitis in 7 eyes, corneal edema in 5 eyes. Some severe complications such as off-centre IOL, cystoid macular edema and retinal detachment did not occur. CONCLUSION： The double capsulorhexis combined with anterior vitrectomy and IOL implanted into eye seems to be an safe and effective method to prohibit aftercataract in the congenital cataract extractions.
出处
《国际眼科杂志》
CAS
2009年第7期1341-1343,共3页
International Eye Science
关键词
先天性白内障
双撕囊
前部玻璃体切除
后发性白内障
congenital cataract
double capsulorhexis
anterior vitrectomy
posterior capsular opacity
