先天性白内障儿童患者须谨慎应用多焦点人工晶状体

Cautious application of multifocal intraocular lenses in children with congenital cataracts

多焦点人工晶状体(MIOL)在成人白内障摘除手术中具有较好的有效性和安全性,但在儿童领域面临诸多挑战。本文从儿童生物学测量困难及白内障摘除手术后屈光状态可预测性差,MIOL对儿童患者无长期脱镜优势,对矫正儿童弱视无明显优势,以及可能增加二次手术率等方面进行阐述,因目前儿童MIOL植入术的临床证据尚不充分,故提出先天性白内障儿童患者须谨慎应用MIOL,为临床相关工作提供参考,并希望临床开展更为深入的研究。

Multifocal intraocular lenses(MIOLs)have demonstrated efficacy and safety in adult cataract surgery,yet they encounter many challenges in pediatric applications.This article elaborates on the difficulties in biometric measurements in children,the unpredictability of postoperative refraction outcomes,the lack of long-term spectacle independence in children with MIOLs,the absence of significant advantages in correcting childhood amblyopia,and the potential increase in the rate of secondary surgeries.Due to the insufficient clinical evidence supporting the use of MIOLs in children at present,it is proposed that MIOLs be cautiously applied to children with congenital cataracts in clinical practice.Further research in this area is encouraged.