儿童白内障摘出及人工晶状体植入的临床观察

Clinical observation on cataract extraction and intraocular lens implantation in children

目的评价儿童白内障摘出及人工晶状体植入术后的临床疗效。方法回顾性分析64例（80眼）12岁以下儿童先天性或外伤性白内障手术，植入人工晶状体45眼，术后随访26例（34眼），随访时间6月～4年。结果术后单眼脱盲率82．8％，脱残率34．5％。术后主要并发症明显高于成年人，主要为后囊混浊，人工晶状体夹持或／和偏位。结论儿童白内障术后各个环节均不可忽视，强调术后随访、屈光矫正和及时弱视治疗的重要性。

Objective To eveluate the results of cataract extraction and intraocular lens (IOL) implantation in children. Method Cataract extraction was performed on 80 eyes of 64 patients under 12 tears old. with congenital or traumatic cataract IOL were inserted in 45 eyes,34 eyes of 26 patients were followed up for 1/2 ~ 4 years. Results After operation 82.8% patients were relieved from blindness, 34.6% rehabilited from low vision. Their complications were severer obviously than those of adults.Posterior capsular opacity, pupil capture or lens dislocation were the main postoperative complications. Conclusions Every link after operation will not be ignore. It is very important to follow up carefully, to correct refractive error and carry out amblyopia treatment in time.