儿童白内障术后Nd:YAG激光的早期治疗

Early treatment of Nd:YAG capsulotomy in preventing posterior capsule opacification (PCO) in pediatric cataract surgery

目的 评价早期的Nd :YAG激光晶状体后囊切开在儿童白内障中的应用价值。方法 1998～ 1999年 8例患儿行白内障囊外摘出与人工晶状体植入后 ,在 7～ 10日内行Nd :YAG激光晶状体后囊切开术。结果 患儿年龄 5～ 11岁 ,随访时间 5月～ 19月 ,平均 10月。 7例患儿视轴区保持透明 ,1例因后囊浑浊再次行YAG激光术 ,后囊再浑浊的复发率达 12 5 % ,所有患儿无明显并发症。结论 早期Nd :YAG激光晶状体后囊切开术在儿童白内障治疗中是安全、有效的。

Objective To asses the effectiveness of early treatment of Nd:YAG capsulotomy in preventing posterior capsule opacification (PCO) in pediatric cataract sugrery.Methods The study comprised 8 eyes of 8 pediatric patients who had cataract extraction and intraocular lens implantation between 1998 and 1999.Posterior capsulotomy was performed by Nd:YAG within one week to ten days after the surgery.Results Patients age ranged from 5 years to 11 years.Men follow up was 10 months,ranged from 5 to 19 months.7 eyes had a clear visual axis alast follow up,one eye required the second Nd:YAG capsulotomy.The incidence of PCO required capsulotomy was 12.5%.Conclusion Early Nd:YAG capsulotomy was safe and effective.It is also a easy way.Long term follow up is need in this study.