光学虹膜切除术后先天性白内障摘除人工晶状体植入联合瞳孔成形术

Intraocular lens implantation and coreoplasty for congenital cataract after optical iridectomy

目的 探讨光学虹膜切除术后治疗先天性绕核性白内障的方法。方法 对光学虹膜切除术后的先天性绕核性白内障患者 12例 (2 4只眼 )行软性白内障摘除囊袋内人工晶状体植入联合瞳孔成形术 ,术中采取角膜进针、穿过缺损区域两侧虹膜、角膜出针、通过白内障切口行前房内打结方法恢复瞳孔形状。结果 全部患者术后矫正视力均≥ 0 5 ;瞳孔近似圆形 ,且对光反射存在 ;无畏光和单眼复视症状 ;美容效果良好。结论 白内障摘除人工晶状体植入联合瞳孔成形术是治疗光学虹膜切除术后先天性绕核性白内障患者的理想方法。

Objective To explore the therapeutic method for congenital perinuclear cataract after optical iridectomy Methods Twelve cases (24 eyes) with congenital perinuclear cataract after optical iridectomy were selected After extracapsular cataract extraction (ECCE) and intraocular lens (IOL) implantation, the sides of the iridectomy were sutured to complete the coreoplasty Result No patient complained of photophobia and monocular diplopia postoperatively Every one got a nearly round pupil with light reaction and a corrected visual acuity ≥0 5 Conclusion The combination of ECCE, IOL implantation and coreoplasty is a good therapeutic method for congenital perinuclear cataract after optical iridectomy