儿童后房型人工晶体二期植入疗效观察

Observation of the Effect of Pediatric Secondary Posterior-chamber Intraocular Lens Implantation

目的:探讨儿童二期人工晶体植入的疗效。方法:对36只儿童无晶体眼,在充分分离虹膜与后囊膜的粘连,形成开放的后房间隙后,根据后囊膜完整与否,采用不同术式植入后房型人工晶体。随访1～20个月,观察视力矫正情况。结果:所有的患儿裸眼视力均等于或高于术前矫正视力,其中,裸眼视力高于术前矫正视力者22眼(61.1%)。矫正视力高于术前矫正视力者32眼(88.8%),等于术前者4眼(11.1%)。结论:后房型人工晶体二期植入对矫正儿童术后无晶体眼是有效的,但术后应加强抗炎的和弱视治疗。眼科学报1998;14:236～237。

Purpose: To evaluate the effects of secondary posterior chamber lens implantation for aphakia in children. Methods: Thirty-six consecutive pediatric aphakic eyes were retrospected. All eyes were secondarily implanted posterior-chamber lens using different operative techniques according to the condition of lens capsule remained after dissecting the posterior adhesion,forming extent space in posterior chamber. Follow-up ranged from 1 to 20 months. The effect of corrected visual acuity was observed. Results: Postoperative nated visual acuity was equal or better than corrected visual acuity preoperatively in 22 eyes(61.1%). Postoperative corrected visual acuity was better than that before surgery in 32 eyes(88.8%) and was equal to that before surgery in 4 eyes( 11.1%). Conclusions; Secondary posterior chamber lOLs implantation was an effective surgery for aphakic eyes in children , but attention should be paid to anti-inflammatory treatment and amblyopia treatment. Eye Science 1998; 14 :236 -237.