中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
4期
445-447
,共3页
婴幼儿先天性白内障%23 G玻璃体切割手术系统%前囊膜切开
嬰幼兒先天性白內障%23 G玻璃體切割手術繫統%前囊膜切開
영유인선천성백내장%23 G파리체절할수술계통%전낭막절개
Congenital cataract of infant%23G vitreous surgery system%Anterior capsular resection
目的 观察应用23G玻璃体切割手术系统治疗婴幼儿先天性白内障的疗效.方法 应用23G玻璃体切割手术系统对11例(12只眼)婴幼儿先天性白内障患者行白内障切除+后囊膜切除+前段玻璃体切割+前囊膜切开术.术后随访2～6个月,观察视力,眼压,晶状体前囊膜切开区情况.结果 所有手术均顺利完成.术后视力均明显改善,表现明显追光、追物,除1只眼术后发生暂时性低眼压(术后3d恢复正常)外,其余患眼随访期内眼压均在正常范围.所有病例均有完整的周边前囊膜,均获透明视区.术中、术后均未见明显并发症发生.结论 23G玻璃体切割手术系统用于婴幼儿先天性白内障的治疗安全、有效,能有效预防术后后发障的形成,可为二期后房型人工晶状体的植入创造条件.
目的 觀察應用23G玻璃體切割手術繫統治療嬰幼兒先天性白內障的療效.方法 應用23G玻璃體切割手術繫統對11例(12隻眼)嬰幼兒先天性白內障患者行白內障切除+後囊膜切除+前段玻璃體切割+前囊膜切開術.術後隨訪2～6箇月,觀察視力,眼壓,晶狀體前囊膜切開區情況.結果 所有手術均順利完成.術後視力均明顯改善,錶現明顯追光、追物,除1隻眼術後髮生暫時性低眼壓(術後3d恢複正常)外,其餘患眼隨訪期內眼壓均在正常範圍.所有病例均有完整的週邊前囊膜,均穫透明視區.術中、術後均未見明顯併髮癥髮生.結論 23G玻璃體切割手術繫統用于嬰幼兒先天性白內障的治療安全、有效,能有效預防術後後髮障的形成,可為二期後房型人工晶狀體的植入創造條件.
목적 관찰응용23G파리체절할수술계통치료영유인선천성백내장적료효.방법 응용23G파리체절할수술계통대11례(12지안)영유인선천성백내장환자행백내장절제+후낭막절제+전단파리체절할+전낭막절개술.술후수방2～6개월,관찰시력,안압,정상체전낭막절개구정황.결과 소유수술균순리완성.술후시력균명현개선,표현명현추광、추물,제1지안술후발생잠시성저안압(술후3d회복정상)외,기여환안수방기내안압균재정상범위.소유병례균유완정적주변전낭막,균획투명시구.술중、술후균미견명현병발증발생.결론 23G파리체절할수술계통용우영유인선천성백내장적치료안전、유효,능유효예방술후후발장적형성,가위이기후방형인공정상체적식입창조조건.
Objective To observe the effect of application in 23G vitreous surgery system treating congenital cataract of infant.Methods Applying 23 G vitreous surgery system to 11 infant patients (12 eyes) with congenital cataract do lensectomy combined with anterior and posterior capsular resection with anterior vitrectomy.Followed-up 2-6 months after operation,the visual acuity,intraocular pressure,and condition of anterior lens capsule membrane incision area were observed.Results All operations were performed successfully.Postoperative visual acuity were markedly improved,obviously showed the spotlight,after things,except that one eye occurred temporary low intraocular pressure (after 3 d resume normal),the rest eye with the normal intraocular pressure in follow-up period.All cases with complete membrane surrounding capsule,all cases obtained transparent visual area.Perioperative and postoperative obvious complications were not found.Conclusions It is safe and effective in applying vitrectomy 23 G system treating the congenital cataract of infant and can effectively prevent the formation of after cataralt and create conditions for secondary lens implantation in posterior chamber of intraocular.
