中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
9期
1161-1164
,共4页
先天性白内障%人工晶状体%治疗
先天性白內障%人工晶狀體%治療
선천성백내장%인공정상체%치료
Congenital cataract%Intraocular lens%Treatment
目的 探讨＜2岁的先天性白内障患儿行白内障抽吸人工晶状体植入联合前段玻璃体切除术的有效性及安全性.方法 回顾分析2003年10月至2010年4月在汕头大学·香港中文大学联合汕头国际眼科中心行白内障抽吸人工晶状体植入联合前段玻璃体切除术的＜2岁先天性白内障患儿共68例(119只眼),其中26例(44只眼)有完整的术后随访资料,35例(64只眼)术后随访资料欠完整,7例(11只眼)失访,术后平均随访54.07个月.结果 资料完整的26例(44只眼)患者术后最佳矫正视力(logMAR)为0.55±0.28,其中最佳矫正视力(小数视力)＜0.3者20只眼(占45％),0.3～0.5者16只眼(占36％),＞0.5者为8只眼(占19％);术后眼轴较术前增长(1.54±0.97) mm,差异有统计学意义(P＜0.05);随访的61例(108只眼)患者中,发生视轴混浊6例(8只眼),瞳孔区机化膜者1例(2只眼),青光眼2例(2只眼).结论 ＜2岁的先天性白内障术一期植入人工晶状体能有效提高视力,术后并发症发生率低.
目的 探討＜2歲的先天性白內障患兒行白內障抽吸人工晶狀體植入聯閤前段玻璃體切除術的有效性及安全性.方法 迴顧分析2003年10月至2010年4月在汕頭大學·香港中文大學聯閤汕頭國際眼科中心行白內障抽吸人工晶狀體植入聯閤前段玻璃體切除術的＜2歲先天性白內障患兒共68例(119隻眼),其中26例(44隻眼)有完整的術後隨訪資料,35例(64隻眼)術後隨訪資料欠完整,7例(11隻眼)失訪,術後平均隨訪54.07箇月.結果 資料完整的26例(44隻眼)患者術後最佳矯正視力(logMAR)為0.55±0.28,其中最佳矯正視力(小數視力)＜0.3者20隻眼(佔45％),0.3～0.5者16隻眼(佔36％),＞0.5者為8隻眼(佔19％);術後眼軸較術前增長(1.54±0.97) mm,差異有統計學意義(P＜0.05);隨訪的61例(108隻眼)患者中,髮生視軸混濁6例(8隻眼),瞳孔區機化膜者1例(2隻眼),青光眼2例(2隻眼).結論 ＜2歲的先天性白內障術一期植入人工晶狀體能有效提高視力,術後併髮癥髮生率低.
목적 탐토＜2세적선천성백내장환인행백내장추흡인공정상체식입연합전단파리체절제술적유효성급안전성.방법 회고분석2003년10월지2010년4월재산두대학·향항중문대학연합산두국제안과중심행백내장추흡인공정상체식입연합전단파리체절제술적＜2세선천성백내장환인공68례(119지안),기중26례(44지안)유완정적술후수방자료,35례(64지안)술후수방자료흠완정,7례(11지안)실방,술후평균수방54.07개월.결과 자료완정적26례(44지안)환자술후최가교정시력(logMAR)위0.55±0.28,기중최가교정시력(소수시력)＜0.3자20지안(점45％),0.3～0.5자16지안(점36％),＞0.5자위8지안(점19％);술후안축교술전증장(1.54±0.97) mm,차이유통계학의의(P＜0.05);수방적61례(108지안)환자중,발생시축혼탁6례(8지안),동공구궤화막자1례(2지안),청광안2례(2지안).결론 ＜2세적선천성백내장술일기식입인공정상체능유효제고시력,술후병발증발생솔저.
Objective To study the safety and efficiency of primary intraocular lens implantation for congenital cataract below 2 years old.Methods Sixty-eight patients (ll9 eyes) of congenital cat aract less than 2 years old were underwent cataract extraction combined with intraocular lens implantation and anterior vitrectomy from 2003 to 2010.Within these patients,there were 26 cases (44eyes) had completed post-operative follow-up records and 35 cases (64 eyes) had partial follow-up records and 7 cases (ll eyes) dropout.The average duration of follow-up was 54.07 months.Results Out of 26 cases (44 eyes) which had complete post-operative follow-up records,the averaged best corrected visual acuity (logMAR) was 0.55±0.28.Among these cases,20 eyes (45％) were ＜0.3 (Dec imal vision) and 16 eyes (36％) were in 0.3 to 0.5 and 8 eyes (19％) were ＞0.5.The post-operative eye axis grown 1.54±0.97mm compared with pre-opemtion (P ＜0.05).Among the 61 cases (108eyes) which had available data for post-operative complications,and 6 cases (8 eyes) occurred visual axis opacification and 1 case (2 eyes) occurred secondary membranes of pupil area and 2 cases (2eyes) occurred glaucoma.Conclusions Primary intraocular lens implantation for congenital cataract below 2 years old can effectively improve the vision and has low incidence of postoperative complications.
