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目的:通过对儿童白内障摘除联合后房型人工晶体植入术的观察,探讨儿童人工晶体植入的时机、屈光度的选择、手术技巧、并发症的防治及疗效.方法:2岁~12岁(平均 7.6±3.5岁)儿童白内障 78眼,I期植入人工晶体68眼(先天性白内障60眼,外伤性白内障8眼);Ⅱ期植入10眼(外伤性白内障6眼,无晶体眼4眼)结果:术后矫正视力>0.5共 37眼,占 47.4%;0.3~0.5共 28眼,占 35.9%;0.3以下 13眼,占 16.7%.术后葡萄膜炎及后发障较重.结论:儿童期白内障术后植入后房型人工晶体是防治弱视、恢复双眼单视功能行之有效的方法.
OBJECTIVE: To investigate the timing of intraocular lens implantation, the choice of refraction, surgical techniques, the prevention and treatment of complications, and the therapeutic effect through the observation of cataract extraction combined with posterior chamber intraocular lens implantation in children. Methods: 78 eyes of cataract aged 2 ~ 12 years old (mean 7.6 ± 3.5 years), 68 eyes of I stage intraocular lens implantation (60 eyes of congenital cataract and 8 eyes of traumatic cataract) Eyes (traumatic cataract 6, aphakia 4 eyes) Results: Postoperative corrected visual acuity> 0.5 a total of 37 eyes, accounting for 47.4%; 0.3 ~ 0.5 a total of 28 eyes, accounting for 35.9% ; 13 eyes below 0.3, accounting for 16.7%. Postoperative uveitis and severe obstacle later. Conclusion: Posterior chamber intraocular lens implantation is an effective method to prevent amblyopia and restore binocular vision.