儿童人工晶状体植入术

Pediatric intraocular lens implantation

目的 评价过去3a内我们所做儿童人工晶状体植入术的结果。方法 所有研究施行IOL植入术儿童的年龄为2～14a。随访6～30mo,平均12mo。分析术后视力和可能发生的并发症。结果 77%为外伤性白内障,23%为先天性白内障。术后视力0.3或0.3以上者在外伤性白内障与先天性白内障患眼分别为62.85%和15.38%,差异有显著性(P<0.01)。9眼(10%)术后前房有纤维素形成,37眼(41.1%)有后囊混浊,无其他严重并发症发生。结论 2a以上儿童IOL植入术后短期疗效良好,很少发生较重的并发症。

Objective To evaluate the results of pediatric intraocular lens implantation performed in the past 3 years.Method All children who under went IOL implantation at age of 2 to14 were studied.Follow up period was 6 to 30 months with an averge of 12 months.Postoperative visual and possible complications were analysed.Results Seventy seven percent of the cataracts were caused by trauma,and 23% were congenital cataracts.Postoperative visual acuity of 0.3 or better were attained in 62.85% of eyes with trauma,and in15.38% of congenital ,respectively.The difference was significant( P <0.01).Postoperative complications were observed fibrin formation in nine eyes(10%)and posterior capsule opacified in 37 eyes(41.1%).There were no other severe complications.Conclusions Short term result of IOLs implant in children older than 2 yeas old were favourable.Major complications were rare.