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目的 观察儿童白内障人工晶状体植入术后远期视力、双眼视、屈光状态和手术并发症情况。方法 12岁以下儿童白内障共 35例 5 4眼进入本次研究。其中单眼外伤性白内障 6例 ,单眼先天性白内障 10例 ,双眼先天性白内障 19例。定期检查患儿的最佳矫正视力 (Bestcorrectedvisualacuity ,BCVA)、双眼视功能、远期屈光状态和手术并发症。平均随访时间为 37 8± 18 6个月。结果 2 7只眼 (5 0 0 % )BCVA≥ 0 5。 13例患儿 (37 1% )Titmus立体视≤ 10 0弧秒。术眼的远期平均屈光度为 - 0 76± 3 2 5D。 4 9只眼 (90 7% )在不同时期发现后发障 ,6只眼 (11 1% )有部分虹膜后粘和瞳孔移位 ,9只眼 (16 7% )出现 <15°的外斜视。 5例双眼先天性白内障存在双眼水平震颤。结论 儿童白内障及时诊断 ,早期手术 ,采用白内障摘除联合IOL植入可以获得较好的视功能。后发障是主要的术后并发症。长期随访很重要。术后后发障等并发症和弱视治疗是获得良好视功能的关键。
Objective To observe the long-term visual acuity, binocular vision, refractive status and surgical complications after cataract surgery in children. Methods A total of 35 patients (54 eyes) with cataract under 12 years old entered the study. Including monocular traumatic cataract in 6 cases, monocular congenital cataract in 10 cases, binocular cataract in 19 cases. Regular examination of children with best corrected visual acuity (BCVA), binocular vision function, long-term refractive status and surgical complications. The average follow-up time was 37 8 ± 18 6 months. Results 27 eyes (500%) had BCVA ≥ 0 5. Thirteen children (37 1%) had a Titmus ≤10 0 arc seconds. The long-term average refractive power of eye surgery - 0 76 ± 3 2 5D. Forty-nine eyes (90.7%) were found to have dislocated at different time points, with partial posterior iridophobia and pupil displacement in 6 eyes (11 1%) and exotropia <15 ° in 9 eyes (16 7%) . Five cases of binocular congenital cataracts with binocular level tremor. Conclusions The timely diagnosis and early operation of cataract in children and cataract extraction combined with IOL implantation can achieve better visual function. Post-attack is the main postoperative complications. Long-term follow-up is very important. Postoperative complications and complications such as amblyopia is the key to good visual function.