儿童白内障摘除及后房型人工晶体植入术临床观察

Clinical observation of childrens extraction of cataract and implantation of posterior chamber artificial lens

通过对儿童白内障后房型人工晶体植入术疗效观察，探讨儿童人工晶体植入的最佳时机、屈光度选择及并发症的防治。方法：８４眼全部施行后房型人工晶体植入术，其中先天性白内障１９眼，外伤性白内障６１眼，无晶体４眼，年龄最小４岁，最大１４岁，平均８．６岁，随访２～２４月。结果：１．术后葡萄膜炎及后囊膜增生较成人严重，２．术后矫正视力满意，＞０．５共５６眼，占６７％。结论：儿童白内障术后植入人工晶体是防治弱视、恢复双眼单视功能的最佳方法。

Objective:Reporting 84 eyes which are implanted posterior chamber artificial lenses.Discussing opportunity of implantation,choice of diopter,prevention and treatment of complications.Methods:The posterior chamber artificial lenses are implanted into 84 eyes,in which 19 eyes are congenital cataracts,61 eyes are traumatic cataracts.4 eyes are after extraction of lens.The youngest is 4 years old.The eldest is 14 years old.These patients have been observed in 2-24 months.Results:Uveitis and posterior capsule proliferate are more serious than the adults.Their visions after operations are satisfactory.Conclusion:Implantating artificial lenses after cataract operations is the best way of preventing、treating amblyopia and regaining effective vision.