儿童眼外伤晶状体及玻璃体切除术后弱视治疗

Therapy of amblyopia after lensectomy and vitrectomy in children

目的 观察儿童眼外伤晶状体、玻璃体切除术后弱视的治疗效果.方法 对29例（29眼）儿科眼外伤晶状体及玻璃体切除术后不同程度弱视,在眼部情况稳定者给予及时配镜矫正、遮盖疗法及适时植入人工晶状体.随访观察1～5年,观察其视力恢复情况.结果 本组病例29眼经治疗,视力提高18眼,占62.07%;无效11眼,占37.93%.其中矫正视力≥0.5者7眼.结论 对儿童眼外伤晶状体及玻璃体切除术后眼及时进行弱视治疗,适时植人人工晶状体,可减少儿童眼外伤弱视的发生及减轻弱视的程度.

Objective To evaluate the therapeutic effect of amblyopia after lensectomy and vitrectomy in children. Methods 29 patents with amblyopia after treated with penalination and one lensectomy and vitrectomy were spectacle lenses or two glasses, occlusion and intraocular lens implantation and were followed up for 1 -5 years. Results The visual acuity was increased （ ≥2 lines） in 18 eyes of 29 cases （37.93%）. The corrective vision ≥ 0.5 was achieved in 7 eyes in the above. Conclusion Amblyopia treatment in time and intraocular lens implantation timely can reduce the occurrence and the degree of amblyopia after lensectomy and vitrectomy operation on child trauma.