关注玻璃体手术技术在婴儿期先天性白内障手术中的合理应用

The rational application of vitreous surgery in infant congenital cataract surgery

白内障是儿童主要的致盲性眼病之一。婴幼儿期是视觉发育的关键阶段,在此期间,严重的晶状体混浊会导致形觉剥夺性弱视。早期诊断与治疗对于提高患者的远期视功能预后非常重要。由于婴幼儿期,尤其是婴儿期的眼球结构处于快速变化之中,在此阶段所采用的白内障手术方法有别于成年人。目前,临床上越来越多地使用玻璃体切割设备进行婴幼儿白内障手术,故在强调合理利用玻璃体手术技术以改善婴幼儿白内障手术效果的同时,还应注意避免一些可能的并发症。本文中笔者对利用玻璃体手术技术进行婴儿期先天性白内障手术的手术时机、手术方式及手术切口的选择等进行评述。

Cataract is one of the major blinding eye diseases in children. Infancy is a critical stage of visual development. During this period,severe opacity of the lens leads to the development of deprivation amblyopia. So the early diagnosis and early treatment are very important for improving long-term visual function in those congenital cataract children. Because of the rapid changes in the structure of the eye in children,especially in infancy,cataract surgery is distinct from those of the adults. At present,the introduce of vitrectomy in the surgery of congenital cataract could improve the effect in those cataract surgeries and avoid possible complications. Therefore,the authors reviewed the timing of operation,surgical procedures and the choice of surgical incisions for the use of vitreous surgery in the treatment of congenital cataract in infants.