儿童白内障Ⅰ期后囊截开的临床观察

Clinical Observation of Primary Posterior Capsulotomy for Cataract in Children

目的 观察儿童白内障摘除Ⅰ期后囊截开的临床疗效。方法 5 4例 (5 6眼 )行白内障囊外摘除 ,同期将后囊截开 2mm小口 ;术后最少随访 6个月 ,平均 8个月。结果 32 %(18/ 5 6 )眼维持视轴中央透明 ,46 %(2 6 / 5 6 )截囊口有不匀薄膜 ,但对视力影响不大 ,总有效率为 78%,2 2 %(12 / 5 6 )形成后发障 ,未发现青光眼、玻璃体疝、黄斑囊样水肿等并发症。结论 该手术对减少后发障的发生有一定的疗效 ,并且是安全的 ,适于基层医院应用。

Objective To observe the clinical results of primary posterior capsulotomy for cataract in children.Methods The incision of posterior capsule was 2mm in 56 eyes of 54 cases with ECCE. The average follow-up period was 8 months.Results The visual axis of 32%(18/56) eyes kept centrally transparent and non-homogenous membrane was found over the incision site of 46%(26/56) eyes which did not affect the vision too much , the overal effectiveness being 78% and the occurrence of after-cataract 22%. No such complications as glaucoma, vitreous prolapse or cystoid macular edema were found.Conclusion This operation can lower the formation of after-cataract and is safe and suitable for grass-root hospitals.