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目的 探讨儿童白内障人工晶体植入术， 术后并发症及处理。方法 ８９ 例１００ 眼先天性和外伤性白内障， 年龄１ 岁９ 个月至１４ 岁， 行针吸并后房型人工晶体植入， 术后随访３ 个月至４ 年。结果 除４ 例患儿不合作， 其余患儿术后视力均较术前有所提高， ≥０－５ 为５５ 例， 术后并发症主要为后囊混浊， １４ 眼行二期后囊切开或ＹＡＧ 激光治疗。其它并发症包括色素膜炎、人工晶体偏心或移位、不可逆瞳孔散大、继发性青光眼及一过性高眼压。结论 人工晶体植入术是目前儿童白内障较为理想的复明手段， 但应慎重选择病人及妥善处理术后并发症， 更为重要的是进行长期随访观察
Objective To investigate the complications and management of cataract extraction and intraocular lens implantation in children. Methods A total of 89 eyes (100 eyes) of congenital and traumatic cataract, aged 1 year, 9 months to 14 years old, underwent needle aspiration and posterior chamber intraocular lens implantation. The patients were followed up for 3 months to 4 years. Results In addition to 4 cases of children without cooperation, the remaining children postoperative visual acuity were improved compared with preoperative, ≥ 0-5 55 cases, postoperative complications mainly posterior capsule opacification, 14 cases of second stage posterior capsule incision Or YAG laser treatment. Other complications include meningitis, intraocular lens eccentricity or displacement, irreversible mydriasis, secondary glaucoma and transient ocular hypertension. Conclusion Intraocular lens implantation is an ideal recaptured method for cataract in children. However, patients should be carefully selected and the postoperative complications should be carefully treated. More importantly, long-term follow-up observation should be performed