重视小儿白内障术后并发症的防治

发布时间：2018-07-23 08:25

【摘要】：小儿白内障是儿童重要的致盲性眼病,手术是其主要治疗方法。由于婴幼儿眼部解剖结构发育尚未完善,手术方法有别于成年人且难度大,同时小儿白内障常合并其他眼部异常,这些因素均增加了术后并发症发生的可能性,如术后炎性反应、虹膜粘连、术后高眼压与青光眼、后发性白内障等。患儿术后并发症的症状和体征比较隐匿,容易被漏诊而延误治疗,最终影响手术效果,甚至导致二次盲。因此对其防治应引起高度重视,建立专业化的小儿眼科医师队伍,规范诊治流程,提高手术技术水平,减少和及时处理术后并发症,以提高小儿白内障的手术效果,减少儿童盲和低视力的发生。
[Abstract]:Cataract in children is an important cause of blindness, surgery is the main treatment. Due to the incomplete development of ocular anatomy in infants and young children, the operation method is different from that of adults and is difficult. At the same time, cataract is often associated with other ocular abnormalities in children. These factors increase the possibility of postoperative complications. Such as postoperative inflammatory reaction, iris adhesion, postoperative high intraocular pressure and glaucoma, posterior cataract and so on. The symptoms and signs of postoperative complications in children were hidden, and they were easy to be missed and delayed treatment, which ultimately affected the effect of surgery and even led to secondary blindness. Therefore, great attention should be paid to its prevention and treatment, and a professional team of pediatric ophthalmologists should be set up to standardize the procedures of diagnosis and treatment, to improve the level of surgical techniques and to reduce and deal with postoperative complications in order to improve the surgical effect of pediatric cataract. Reduce the incidence of blindness and low vision in children.
【作者单位】：中山大学中山眼科中心
【基金】：广州市小儿白内障临床医学研究与转化中心试点建设项目
【分类号】：R779.66

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