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目的 探讨青少年白内障手术中同期晶状体后囊浑浊的手术处理方法。方法 对白内障超声乳化术(phacoemulcification)、非超乳的小切口白内障囊外摘除术(small incision ECCE)联合后房型人工晶体植入术手术当中囊抛光不干净或者白内障术后后发性白内障63例65眼于后房型人工晶体植入后一期采用后囊截开或撕囊术,对照组选用同期类似患者31例31眼行白内障术中常规后囊抛光术,术后视力和并发症两组进行对比。统计结果进行组间t检验。结果 截囊组术后视力最佳1.5,最差0.3,术后2月平均视力0.6,与对照组相比有显著差异(t检验,P<0.05),术后随访6～22月对照组继发后发性白内障21只眼(并发率67.3％)。撕后囊组无後发性白内障和眼后节并发症发生。后发障发生率与对照组有显著性差异。结论 青少年白内障后房型人工晶体植入术后同期采用后囊截开或撕囊术对眼内组织损伤小。术后反应轻,人工晶体在眼内稳定性好,后发性白内障及眼后节并发症少。
Objective To investigate the surgical treatment of lens posterior capsular opacification in adolescent cataract surgery. Methods Sixty-three patients with phacoemulcification, non-phacoemulsification and small incision ECCE combined with posterior chamber intraocular lens implantation 65 eyes of posterior chamber intraocular lens implantation after a period of posterior capsulotomy or capsulorhexis in the control group of patients with similar over the same period 31 cases 31 cases of cataract surgery routine posterior capsular surgery, postoperative visual acuity and complications of two groups comparing. Statistical results for the t-test between groups. Results The postoperative best visual acuity was 1.5, the worst was 0.3, the average visual acuity was 0.6 at 2 months after surgery. There was a significant difference (t test, P <0.05) between the control group and the control group 21 cases of posterior cataract (concurrent rate 67.3%). No posterior capsular posterior capsulotomy and posterior segment complications occurred. The incidence of post-stroke and the control group were significantly different. Conclusions Adolescent cataract posterior chamber intraocular lens implantation after surgery with posterior capsulotomy or capsulorhexis injury to the eye tissue is small. Postoperative reaction light, intraocular lens in intraocular stability, posterior capsular and ocular complications less.