摘要
目的 探讨一期后囊截开对儿童白内障后房人工晶状体植入术后后囊浑浊的预防作用。方法 对 44例 ( 5 2眼 )儿童先天性和外伤性白内障采用一期后囊截开、部分切除或联合前段玻璃体切除术。术后随访 3月以上。结果 出院时矫正视力≥ 0 5者达 72 % ,随访显示 90 %术眼视轴区透明 ,眼底清晰可见。结论 后囊一期截开或部分切除可预防儿童白内障术后晶状体囊浑浊的发生。对于穿孔伤所致晶状体囊破孔较大者宜联合前段玻璃体切除术。
Objective To evaluate the efficacy of primary posterior capsulotomy in preventing posterior capsular opacity after cataract extraction.Methods 44 cases(52 eyes) of congenital and traumatic cataract in children were treated by primary posterior capsulotomy or capsulectomy,or the combined anterior vitrectomy and posterior chamber lens implantation.Results Corrected visual acuity was 0.5 or better in 72% of the eyes and the results of follow up showed 90% of the eyes remainded transparent in the optic area.Conclusion It is demonstrated that capsusectomy is effective in prevening the posterior capsular opacity affer cataract extraction with posterior chamber lens implantation in children.Moreover combined anterior vitrectomy should be performed in those with the anterior capsule severly damaged.
出处
《眼外伤职业眼病杂志》
北大核心
2000年第2期138-139,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
儿童
白内障
人工晶体植入术
后房型
Children Cataract Lens capsule Capsulotomy Posterior,primary
