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目的：探讨不同手术方法治疗小儿先天性白内障的术后效果。方法：分别用单纯白内障吸除和白内障吸除联合后囊环形撕开及前段玻璃体切割术治疗小儿先天性白内障患者，比较术后后发性白内障的发生情况。结果：4例单纯白内障吸除者中有2眼发生后发性白内障，其中1眼给予后囊膜划开后仍再发；12眼白内障吸除联合后囊环形撕开及前段玻璃体切割者术后无一例发生后发性白内障。结论：白内障吸除联合后囊膜连续环形撕开及前段玻璃体切割术是治疗小儿先天性白内障并能预防后发性白内障发生的有效方法。
Objective: To explore the effect of different surgical methods on the treatment of children with congenital cataract. Methods: Patients with congenital cataracts were treated with simple cataract extraction and cataract extraction combined with posterior capsular ring rip and anterior vitrectomy respectively. The incidence of postoperative recurrent cataract was compared. Results: Two of 4 patients with simple cataract had posterior capsular cataract, and one of them had a recurrence of posterior capsular dehiscence. Twelve eyes with cataract combined with posterior capsular ring rip and anterior vitrectomy No case of posterior cataract occurred. CONCLUSION: Cataract ablation combined with posterior capsular continuous circular tear and anterior vitrectomy is an effective method for the treatment of congenital cataract in children and prevention of the development of posterior capsular cataract.