儿童先天性白内障476例手术特点分析

发布时间：2018-02-28 16:27

  本文关键词： 先天性白内障 白内障超声乳化 后囊连续环形撕囊 玻璃体切割 人工晶状体　出处：《眼科新进展》2017年08期 　论文类型：期刊论文

【摘要】：目的分析儿童先天性白内障手术方式、人工晶状体(intraocular lens,IOL)植入情况和术后并发症情况,以期为儿童先天性白内障的治疗提供参考。方法回顾分析2008年1月至2016年1月在我院行先天性白内障摘出的13岁以下儿童的临床资料。手术前后行裂隙灯显微镜、眼底、眼压、最佳矫正视力等常规检查。2岁及以下儿童行白内障超声乳化摘出+后囊连续环形撕囊(posterior continuous curvilinear capsulorhexis,PCCC)+前段玻璃体切割(anterior vitrectomy,AV)术,2岁后行二期IOL植入术;2~4岁儿童行白内障超声乳化摘出+PCCC+AV+IOL植入术;4~7岁儿童行白内障超声乳化摘出+PCCC+IOL植入术;7岁儿童行白内障超声乳化摘出+IOL植入术。结果共476例(740眼)纳入本研究,年龄(33.59±37.14)个月,其中0~6个月166例(282眼,38.11%)。一期植入IOL 260眼,年龄(5.59±2.43)岁;二期植入IOL 480眼,年龄(4.06±2.12)岁。IOL植入术后残留屈光度(等效球镜度数):2~4岁为(3.53±0.56)D,4~6岁为(2.36±0.32)D,6~8岁为(1.65±0.52)D,8~13岁为(-0.25±0.32)D。术后并发症326眼,其中虹膜粘连115眼(35.28%),位于视轴上的后发性白内障97眼(29.75%),术后青光眼54眼(16.56%)。末次随访时单眼白内障术后最佳矫正视力为(0.56±0.41)LogMAR,双眼白内障术后最佳矫正视力为(0.42±0.27)LogMAR,两组相比差异有统计学意义(P=0.04)。结论儿童先天性白内障约三分之一在6个月内进行白内障超声乳化摘出术。双眼先天性白内障患儿视力预后优于单眼先天性白内障患儿。儿童先天性白内障患儿术后并发症较成人多,需谨慎处理。
[Abstract]:Objective to analyze the pediatric congenital cataract surgery and intraocular lens (intraocular lens IOL) implantation and postoperative complications, to provide reference for treatment of children with congenital cataract. Methods Retrospective analysis of clinical data of 13 children under the age of extraction from January 2008 to January 2016 in our hospital for congenital cataract surgery before and after the. Slit lamp microscope, fundus, intraocular pressure, the best corrected visual acuity.2 children under routine examination of phacoemulsification combined with posterior continuous curvilinear capsulorhexis (posterior continuous curvilinear capsulorhexis, PCCC) with anterior vitreous body cutting (anterior vitrectomy, AV), after 2 years old two IOL implantation; 2~4 children cataract phacoemulsification and +PCCC+AV+IOL implantation; 4~7 for children aged cataract phacoemulsification and +PCCC+IOL implantation; 7 year old children phacoemulsification +IO L妞嶅叆鏈，

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