人工晶状体在婴儿白内障手术中应用现状与趋势

Pay attention to the clinical application research of the intraocular lens implantation for infantile cataract surgery

婴儿白内障手术仍然是目前眼科临床治疗的难题。由于人工晶状体(IOL)矫正无晶状体眼符合眼部生理要求且利于弱视的治疗,IOL植入术在婴儿白内障手术中的应用越来越多,植入年龄也越来越小。随着眼科显微技术和IOL设计的进一步发展,婴儿IOL植入的手术并发症也不断减少。从历史发展趋势看,白内障摘除同期IOL植入可能成为未来婴儿白内障手术的首选方式;但当前同期植入IOL的并发症不可忽视,所以应重视IOL在婴儿白内障手术中的临床应用研究。

Currently infantile cataract surgery remains a difficult problem in ophthalmological practice. Because of physical way of optical correction and more effective amblyopia therapy, the application of primary intraocular lens （IOL） implantation in infantile cataract surgery is becoming more acceptable, and the age of primary implantation be- come earlier. Along with the advances in ophthalmic microsurgical techniques and intraocular lens design, the IOL com- plications in infantile cataract surgery are declining. From the trend of history, primary IOL probably will become the way of choice of correcting aphakia in infantile cataract surgery in the near future. However, the current complications of implantation can not be ignored. Researchers should pay attention to the clinical application research on the primary IOL implantation in infantile cataract surgery. （Chin J Ophthalmol and Otorhinolaryngol,2011,11：341-344）