中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2013年
5期
472-476
,共5页
白内障%盲%视力,低%综合疗法
白內障%盲%視力,低%綜閤療法
백내장%맹%시력,저%종합요법
Cataract%Blindness%Vision,low%Combined modality therapy
先天性白内障是儿童可治性盲的首位病因,显微手术技术的发展使婴幼儿白内障的手术成功率得到极大提高,但是成功的手术并不一定能带来令人满意的视功能恢复.由于手术年龄晚、无晶状体眼屈光状态未及时合理矫正、未进行科学的视功能训练,当前国内大量先天性白内障儿童术后仍处于盲或低视力状态.选择恰当的手术时机,采取合理的手术方式,进行系统规范的屈光状态矫正、弱视治疗及双眼视功能训练,对于先天性白内障低视力与盲的综合防治具有重要意义.
先天性白內障是兒童可治性盲的首位病因,顯微手術技術的髮展使嬰幼兒白內障的手術成功率得到極大提高,但是成功的手術併不一定能帶來令人滿意的視功能恢複.由于手術年齡晚、無晶狀體眼屈光狀態未及時閤理矯正、未進行科學的視功能訓練,噹前國內大量先天性白內障兒童術後仍處于盲或低視力狀態.選擇恰噹的手術時機,採取閤理的手術方式,進行繫統規範的屈光狀態矯正、弱視治療及雙眼視功能訓練,對于先天性白內障低視力與盲的綜閤防治具有重要意義.
선천성백내장시인동가치성맹적수위병인,현미수술기술적발전사영유인백내장적수술성공솔득도겁대제고,단시성공적수술병불일정능대래령인만의적시공능회복.유우수술년령만、무정상체안굴광상태미급시합리교정、미진행과학적시공능훈련,당전국내대량선천성백내장인동술후잉처우맹혹저시력상태.선택흡당적수술시궤,채취합리적수술방식,진행계통규범적굴광상태교정、약시치료급쌍안시공능훈련,대우선천성백내장저시력여맹적종합방치구유중요의의.
Congenital cataract is a major cause of treatable blindness in the pediatric population worldwide.Advances in microsurgical techniques have significantly increased the success rate of surgery.However,visual rehabilitation outcomes are not always satisfactory even after a successful surgery.Due to delayed surgery,irrational aphakic correction,and lack of amblyopic training,a large number of infants in China remain blind or low-visioned after cataract surgery.Appropriate timing of surgical intervention,rational surgical methodology as well as systematic optical correction and amblyopic training are critical for the prevention of blindness and low vision in congenital cataract.(Chin J Ophthalmol,2013,49:472-476)
