【摘要】  　　目的：探讨先天性白内障人工晶状体(IOL)植入术的效果及术式选择。方法：先天性白内障65例(65眼)，3岁内一期植入后房型IOL 39例；二期3岁后植入后房型IOL 26例。结果：一期植入者脱盲率95%，脱残率67%；二期植入者脱盲率96%，脱残率69%，两者间无显著性差异(P >0.05)。术后并发症IOL前膜、后囊混浊，两者间存在显著性差异(P <0.05)。两种手术均无严重并发症。结论：对于先天性白内障患者，只要掌握好手术时机，应努力争取行一期植入术。

【关键词】  先天性白内障　手术时机　人工晶状体植入术

　　Optimal surgery timing and technique on congenital cataract

    Yi Shao, Chong-Gang Pei, Qiong Zhou ,Xin-Hua Liu, Lu Yang

    Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang330006, Jiangxi Province, China

     Abstract AIM：To study the cursive effect and the surgical methods of intraocular lens (1OL) implantation for congenital cataract. METHODS：Among the 65 cases (65 eyes) of congenital cataract, there were.39 eyes with implanted PC IOL and cataract extraction before 3 years old and 26 eyes receiving secondary IOL implantation after 3 years old.RESULTS：The blindness-free rate and the handicap-overcome rate were 95% and 67% for the primary implantation, respectively, which had no significant difference with those for the secondary implantation (96% and 69%, respectively)(P>0.05). The postoperative complications included exudative membrane of IOL and opacity of post capsula, with significant difference between each other (P <0.05). No serious complication was found in the 65 cases. CONCLUSION：There are not notable difference in implantation between the primary and the secondary corrective visual acuity of congenital cataract. Therefore the primary implantation should be performed in proper time.

    · KEYWORDS： congenital cataract; operation timing; intraocular lens implantation

　　0引言

    先天性白内障是儿童低视力和盲的主要原因之一。白内障术后无晶状体眼屈光不正的矫正首选方法是人工晶状体植入，但对于手术时机及手术方式一直存在争论。我们对我科2004-01/2006-01收治的65例先天性白内障患者分别采用IOL一期植入和二期植入术进行治疗，现分析如下。

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