自动平衡灌注摘出先天性白内障的临床观察

Study on using auto-irrigation and aspiration for congenital cataract extraction

观察自动平衡灌注系统摘出先天性白内障的手术效果。方法 ３６例４０眼先天性白内障患儿用平衡灌注系统摘出并植入后房人工晶状体，并与同期或既往４０眼先天性白内障患者行现代囊外摘出人工晶状体植入作对比。结果 自动平衡灌注组术中、术后并发症较传统术式明显减少，尤其是后发障的发生前者仅为３０％，后者为５７．１％（Ｐ＜０．０１）。结论 自动平衡灌注以良好的前房稳定性，较轻的术后反应，及晶状体皮质的彻底清除提高了先天性白内障的手术效果。

Objective To investigate the effect of extracting congenital cataract using auto-irrigation and aspiration. Methods 36 cases(40 eyes) congenital cataracts were extracted and intraocular lens were implanted using auto-irrigation and aspiration. Surgical results were compared with 40 eyes congenital cataracts which were extracted and intraocular lens were implanted through ECCE. Results The group of auto-irrigation and aspiration (40 eyes) gave satisfactory effect. The complications of using auto-irrigation and aspiration before or after operation were less than those of ECCE. The occurring rate of secondary cataracts for the former was 30% and for the later was 57. 1%. Conclusion Auto-irrigation and aspiration improve the operative effect of congenital cataract because of stable anterior chamber, minimal anterior reaction and removal of cortex comp letely.