CAJ | 학술논문

目的观察先天性白内障术后视力及立体视恢复情况.探讨视功能变化的影响因素.方法将33例(56只眼)先天性白内障患儿据手术时年龄3月至2岁,＞2～6岁分为A、B两组,A组21例36只眼,B组12例20只眼,对术后平均随访3年的最佳矫正远视力及远近立体视恢复情况进行分析.结果术后脱盲率,A组为100%,B组为90%,两组之间的差别无统计学意义(P＞0.05);脱残率,A组为94%,B组为70%,两组之间差别具有统计学意义(P＜0.05);远立体视的获得率A组为58.8%,B组为16.7%,两组之间差异均具有统计学意义(P＜0.05);近立体视获得率A组为70.6%,B组为41.7%,两组之间差异无统计学意义(P＞0.05).结论先天性白内障患儿视功能恢复与手术年龄有关,手术年龄越小,视功能恢复越好.
목적 관찰선천성백내장술후시력급입체시회복정황.탐토시공능변화적영향인소.방법 장33례(56지안)선천성백내장환인거수술시년령3월지2세,＞2～6세분위A、B량조,A조21례36지안,B조12례20지안,대술후평균수방3년적최가교정원시력급원근입체시회복정황진행분석.결과 술후탈맹솔,A조위100%,B조위90%,량조지간적차별무통계학의의(P＞0.05);탈잔솔,A조위94%,B조위70%,량조지간차별구유통계학의의(P＜0.05);원입체시적획득솔A조위58.8%,B조위16.7%,량조지간차이균구유통계학의의(P＜0.05);근입체시획득솔A조위70.6%,B조위41.7%,량조지간차이무통계학의의(P＞0.05).결론 선천성백내장환인시공능회복여수술년령유관,수술년령월소,시공능회복월호.
Objective To investigate the factors of visual function change after congenital cataract extraction and intraocular lens (IOL) implantation through the observation of visual acuity and stereosis. Methods A total of 33 cases were divided into 2 groups according to operation age, 3 months-2 years old was named group A, 2-6 years old was named group B. To analyze the best corrected distant visual acuity and the near and distance stereo-acuity after cataract extraction with IOL implantation. They were followed up for an average of 3 years. Results After operation, 100% and 90% patients were relieved from blindness in group A and group B respectively, and two groups did not show difference (P ＞0.05); 94% and 70% patients obtained corrected vision ≥ 0.3 in group A and group B, and two groups showed significant difference (P ＜0.05); 70.6% and 41.7%patients gained the near stereo acuity in group A and group B respectively, the recovery rate of the near stereo-acuity did not show difference (P ＞0.05); 58.8% and 16.7% patients acquired the distance stereo acuity in group A and group B respectively, the recovery rate of the distance stereo-acuity showed significant difference between two groups (P ＜0.05). Conclusions The recovery of visual function of child's congenital cataract is related to the operation age. And the children can get better visual function if they accepte surgery earlier.