儿童先天性白内障手术治疗进展

The progress in surgical treatment of congenital cataract in children

儿童先天性白内障的治疗是全世界面临的难题,白内障摘除联合后囊膜切开、前部玻璃体切除是目前公认的儿童白内障治疗最佳的手术方案。近些年,随着手术器械的发展和手术方式的改进,先天性白内障手术成功率在不断提高,预后不断改善。由于婴幼儿眼部发育尚不成熟,在术前评估、术中操作、术后管理方面与成人白内障不同,本文通过复习国内外有关文献,对儿童先天性白内障治疗的手术时机、手术过程的处理研究进展进行综述。

The treatment of congenital cataract in children is a difficult problem all over the world.Cataract extraction combined with posterior capsulotomy and anterior vitrectomy is currently recognized as an optimal surgical method for children with cataract.In recent years,with the development of surgical instruments and the improvement of surgical methods,the success rate of congenital cataract surgery has increased,and the prognosis has improved.The eye development of infants is not yet mature,and is different from adult cataract in terms of preoperative evaluation,intraoperative operation,and postoperative management.In this article,the research progress of surgical timing and surgical treatment of children with congenital cataract is reviewed by reviewing relevant domestic and foreign literature.