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目的 总结后房型人工晶状体二期植入矫正儿童无晶状体眼的疗效,探讨儿童二期人工晶状体植入术。方法 对40只儿童无晶状体眼,在充分分离虹膜与后囊膜的粘连,形成开放的后房间隙后,根据后囊膜完整与否,采用不同术式植入后房型人工晶状体。结果 随访1～20mo,平均13.85mo。裸眼视力均等于或高于术前矫正视力,其中,裸眼视力高于术前矫正视力者23眼(57.5%),矫正视力高于术前矫正视力者33眼(82.5%),等于术前者7眼(17.5%)。结论 后房型人工晶状体二期植入对矫正儿童术后无晶状体眼是有效的,但术后应加强抗炎和弱视治疗。
Objective To summarize the effect of posterior chamber intraocular lens implantation for correction of aphakia in children, and to investigate the effect of second-stage intraocular lens implantation in children. Methods 40 children with aphakia, the separation of the iris and posterior capsular adhesions to form an open posterior chamber gap, according to the integrity of the posterior capsule, the use of different surgical implantation of posterior chamber intraocular lens. Results Follow-up 1 ~ 20mo, an average of 13.85mo. Uncorrected visual acuity was equal to or higher than preoperative corrected visual acuity. Among them, 23 eyes (57.5%) had uncorrected visual acuity higher than preoperative corrected visual acuity, 33 eyes (82.5%) had corrected visual acuity higher than preoperative corrected visual acuity, which was equal to preoperative Seven eyes (17.5%). Conclusion The posterior chamber intraocular lens (IOL) implantation is effective in ameliorating aphakia in children. However, postoperative anti-inflammatory and amblyopia treatments should be strengthened.