CAJ | 학술논문

目前,国内外已将白内障摘除和人工晶状体( intraocularlens, IOL)植入作为治疗儿童白内障的首要选择。但是,儿童眼特别是婴幼儿眼的IOL植入一直是眼科界关注的问题。适时的白内障摘除术后IOL植入对于屈光矫正、视功能建立、预防弱视和双眼视功能重建都有极大的作用。然而,有关婴幼儿白内障摘除术后IOL植入问题,在儿童白内障治疗方案上始终存在争议,争议的焦点主要集中在IOL植入的时机问题上。理论上讲,儿童白内障的手术治疗原则是越早越好,目的是去形觉剥夺因素,打开视觉通路,及时植入IOL,促进视觉发育。但如何找到既“早”又安全的IOL植入时间点无疑对患儿视功能的康复是大有益处的,本文就国内外儿童白内障摘除术后IOL植入问题进行综述。
목전,국내외이장백내장적제화인공정상체( intraocularlens, IOL)식입작위치료인동백내장적수요선택。단시,인동안특별시영유인안적IOL식입일직시안과계관주적문제。괄시적백내장적제술후IOL식입대우굴광교정、시공능건립、예방약시화쌍안시공능중건도유겁대적작용。연이,유관영유인백내장적제술후IOL식입문제,재인동백내장치료방안상시종존재쟁의,쟁의적초점주요집중재IOL식입적시궤문제상。이론상강,인동백내장적수술치료원칙시월조월호,목적시거형각박탈인소,타개시각통로,급시식입IOL,촉진시각발육。단여하조도기“조”우안전적IOL식입시간점무의대환인시공능적강복시대유익처적,본문취국내외인동백내장적제술후IOL식입문제진행종술。
Cataract extraction and the intraocular lens ( IOL ) implantation are the first choice to cure children cataract both domestic and overseas so far. However, IOL implantation in the eyes of children, especially in infant, has always been cared by ophthalmologists. Timely implanting IOL after the cataract extraction has played a significant role in terms of the refractive correction, the establishment of visual function, the prevention of amblyopia and the reconstruction of binocular vision. However, on the issue of IOL implantation after cataract extraction, there is always controversy on cataract treatment programs for children, and the focus of the controversy is when the IOL should be implanted. Theoretically, the principle of pediatric cataract surgery is the sooner the better, aiming to remove deprivation factor, open the visual pathway, implant IOL timely, and promote the visual development. How to find both“early” and safe IOL implantation time point is undoubtedly helpful for the rehabilitation of visual function of these children. The issues on the IOL implantation after children cataract extraction both at home and abroad are summarized below.