CAJ | 학술논문

目的观察双撕囊联合前部玻璃体切除在治疗儿童先天性白内障中的疗效.方法对42例71眼年龄3个月至14岁的先天性白内障患儿实施白内障囊外摘除、后囊连续环形撕囊联合前部玻璃体切除术,联合Ⅰ期或Ⅱ期人工晶状体植入(IOL),平均随访24个月.结果 42例患儿中有37例61眼术后能检查视力,最佳矫正视力>0.5者39眼,>0.3者16眼,<0.3者6眼.术后并发症:葡萄膜炎9眼、角膜水肿8跟、后发性白内障5眼,人工晶状体偏位、视网膜脱离、黄斑囊样水肿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植入是比较安全有效的治疗儿童先天性白内障的手术方式.
목적 관찰쌍시낭연합전부파리체절제재치료인동선천성백내장중적료효.방법 대42례71안년령3개월지14세적선천성백내장환인실시백내장낭외적제、후낭련속배형시낭연합전부파리체절제술,연합Ⅰ기혹Ⅱ기인공정상체식입(IOL),평균수방24개월.결과 42례환인중유37례61안술후능검사시력,최가교정시력>0.5자39안,>0.3자16안,<0.3자6안.술후병발증:포도막염9안、각막수종8근、후발성백내장5안,인공정상체편위、시망막탈리、황반낭양수종등엄중병발증상미출현.결론 쌍시낭연합전부파리체절제술연합IOL식입시비교안전유효적치료인동선천성백내장적수술방식.
Objective To study the effect of double capsulorhexis combined with anterior vitrectomy in children with congenital cataract.Methods 42 (71 eyes) (age from 3 months to 14 years) underwent posterior continuous circular capsulorhexis (PCCC) and anterior vitrectomy after cataract extraction, and intraocularlens (IOL) were implanted in some eyes.The median follow-up time was 24 months.Results Among the 61 eyes of 37 patients who could do the visual examination,39 eye shada corrected visual acutiy of 0.5 or better, 16 eyes had a corrected visual acutiy of 0.3 or better;6 eyes had a corrected visual acuity of 0.3 or below.The postoperative complications included uveitis in 9 eyes,cornealede main 8 eyes,posterior capsular opacity(PCO) in 5 eyes.Some severe complications such as off centre IOL,cystoid macularedema and retinal detachment did not occur.Conclusion The double capsulorhexis combined with anterior vitrectomy and IOL implanted into eye should be a safe and effective method to prohibit after cataract in children with congenital cataract.